NPI 1902296890

Annie Stagner Wyatt, MSCCCSLP

Practitioner Speech-Language Pathologist Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (270) 798-8388

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 164756 (KY)

Other Speech-Language Pathologist providers in Kentucky →

Registry record

NPI: 1902296890
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2015
Record last updated: 10 Nov 2016

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.