IndividualActive
Anita Wiese, ST
NPI 1710978879 · Speech-Language Pathologist · Ravenna, OH
Provider details
- NPI number
- 1710978879
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- ST
- Sex
- Female
- License
- SP8366 (OH)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
6831 N Chestnut St
Ravenna, OH 44266-3929
Phone: (330) 297-4564
Approximate (ZIP-level) locationGet directions
Mailing address
533 E Main St
Ravenna, OH 44266-3218
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.