Deborah Lynn Wise, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0046 Issued in AZ

Practice address

3100 W Ray Rd
Chandler, AZ 85226-2470

Phone

(480) 207-5975

NPI assigned

Dec 6, 2006

Last updated

Oct 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1760540082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 S 48TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441228",
            "telephone_number": "480-235-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262470",
            "telephone_number": "480-207-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "0046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION #",
            "identifier": "00500223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ. SPEECH PATHOLOGY LICENSE",
            "identifier": "0046",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824137",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott J Winston, PHARM.D.
• Alyssa Winter, ED.S
• Jennifer Marie Winters, AU.D., CCC-A
• Nadine Astrid Winters
• Chelsie Wise, PTA
• Brandon Wishman, PT, DPT
• Jaunru Alexander Wisner
• Withinsight Psychological Services PLLC
• Lauren Bunker Woffinden, NP
• Chelsea Lynn Wolf, RBT

• Speech-Language Pathologist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.