KIMBERLY SUE WISE CCC-SLP NPI 1740408608

NPI Information

  • NPI: 1740408608
  • Provider Name: KIMBERLY SUE WISE, CCC-SLP
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 4692 SPOTTSWOOD AVE
    MEMPHIS, TN
    ZIP 38117
  • Phone: (901) 647-5682

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NPI Details

Kimberly Sue Wise, CCC-SLP is a speech language pathologist in Memphis, TN. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kimberly Sue Wise, CCC-SLP NPI is 1740408608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4692 SPOTTSWOOD AVE
MEMPHIS, TN
ZIP 38117-822
Phone: (901) 647-5682
Fax: (901) 761-7171

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistS2834MISSISSIPPINo
2235Z00000XSpeech-Language Pathologist0000001728TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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