Most Relevant Information
Provider Data
NPI Number: | 1003238833 |
Provider Name: | AISLINN M WAKE MS CCC/SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 108592 |
Most Important Dates
Enumeration Date: | 01/14/2014 |
Last Updated: | 11/08/2019 |
Provider Practice Location
10609 IH 10 W STE 201
SAN ANTONIO
TX
782301673
Practice Location Phone/Fax
Phone: | 2103445437 |
Fax: |
Provider Mailing Location
3745 LAZY DIAMOND
SELMA
TX
781543530
Provider Mailing Phone/Fax
Phone: | 2106830836 |
Fax: |