NPI 1396812376

Graham Leonard Wilde, PHD

Practitioner Audiologist Lexington, SC

Practice location

Address: 5315b Sunset Blvd, Lexington, SC 29072-9159
Phone: (803) 808-9611
Fax: (803) 808-6848

Registered specialties (2)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 249 (SC)

Other Audiologist providers in South Carolina →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD000296 (GA)

Registry record

NPI: 1396812376
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.