Steven Lynn Widenhouse, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2773 Issued in NC

Practice address

2601 Reynolda Rd
Winston Salem, NC 27106-3863

Phone

(336) 757-2349

NPI assigned

Sep 16, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1205169604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063863",
            "telephone_number": "336-757-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063863",
            "telephone_number": "336-757-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENHOUSE",
        "first_name": "STEVEN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deemyhiea Whyte
• Esther Simone Whyte, LCMHC
• Angelina Helen Wiater, MD
• Wide Spaces PLLC
• Nickolas Widener, CRNA
• Kent Widle, RPH
• Theresa Widmer
• Matthew Joseph Wieduwilt, M.D., PH.D.
• Kathleen Marie Wiese, D.O.
• Ethan Ron Wiesler, MD

• Speech-Language Pathologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.