ANDREA RENAE WYDICK SLP
NPI 1629834627
Speech-Language Pathologist in Milo, MO

Active since February 27, 2024
22507 S 2325 RD, MILO, MO 64767(417) 684-0105 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Renae Wydick Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA RENAE WYDICK SLP (NPI 1629834627) is an individual speech-language pathologist provider in Milo, Missouri, licensed in Missouri (2013033373) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1629834627
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANDREA RENAE WYDICKCredential: SLP
Location Address22507 S 2325 RDMilo, MO 64767-7643
Mailing Address22507 S 2325 RdMilo, MO 64767-7643 · (417) 684-0105
Sole ProprietorYes
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1629834627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MO · 2013033373
Definition
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.
22507 S 2325 RD, Milo, MO 64767

Other Names 1

Former Name (1)Andrea Renae Masers Nims

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Wydick's NPI number?

The NPI number for Andrea Wydick is 1629834627. It was assigned to this individual provider in the NPPES registry on February 27, 2024. The provider is also known as Andrea Renae Masers Nims.

Where is Andrea Wydick located?

Andrea Wydick practices at 22507 S 2325 Rd, Milo, MO 64767. The listed phone number is (417) 684-0105.

What is Andrea Wydick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Andrea Wydick was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.