MRS. ADRIENNE WILDE, MS, CCC SLP

Speech-Language Pathologist

Active Individual
NPI: 1336281104

Practice Address

1432 SOUTHWEST BLVD
Jefferson City, MO 65109

Phone: (573) 632-5633

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 117608 (MO)

Frequently Asked Questions

NPI 1336281104 is the National Provider Identifier for MRS. ADRIENNE WILDE, MS, CCC SLP, a Speech-Language Pathologist provider located in Jefferson City, MO. This NPI was enumerated on February 12, 2007.
MRS. ADRIENNE WILDE, MS, CCC SLP practices at 1432 SOUTHWEST BLVD, Jefferson City, MO 65109.

Quick Facts

NPI
1336281104
Type
Individual
Enumerated
Feb 12, 2007
Last Updated
Jul 8, 2007