National Provider Identifier
Lori Lynn Wildt, M.S.CCC/SLP
Lori Lynn Wildt, M.S.CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in N Tonawanda, NY and a listed phone number of (716) 692-5776.
Profile Overview
- NPI
- 1366611865
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- February 28, 2008
- Last Updated
- October 01, 2008
Practice Location
- 7135 Pendale Cir
- N Tonawanda, NY 14120-9714
Phone: (716) 692-5776
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1366611865
- Entity Type
- Individual
- Last Name
- Wildt
- First Name
- Lori
- Middle Name
- Lynn
- Name Prefix
- Mrs.
- Credential
- M.S.CCC/SLP
- Mailing Street Address
- 7135 Pendale Cir
- Mailing City
- N Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-9714
- Mailing Country
- US
- Mailing Phone
- (716) 692-5776
- Practice Street Address
- 7135 Pendale Cir
- Practice City
- N Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-9714
- Practice Country
- US
- Practice Phone
- (716) 692-5776
- Enumeration Date
- February 28, 2008
- Last Updated
- October 01, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)