Cynthia L Wandland
Individual provider Active NPI Speech-Language Pathologist · Claypool, IN
NPI 1275794828 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1275794828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 22001109A (IN)
- Practice address
- 2653 W Union St
Claypool, IN 46510-9439 - Phone
- (574) 566-2355
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001109A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001109A | IN | Yes |
Addresses
Primary practice location
2653 W Union St
Claypool, IN 46510-9439
Mailing address
2653 W Union St
Claypool, IN 46510-9439
Phone (574) 566-2355
Other providers in Claypool, IN
All providers in Claypool, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.