KIMBERLY SUE WISE CCC-SLP
NPI 1740408608
Speech-Language Pathologist in Memphis, TN

Active since April 23, 2007
4692 SPOTTSWOOD AVE, MEMPHIS, TN 38117(901) 647-5682(901) 761-7171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Sue Wise Ccc-slp NPPES

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

KIMBERLY SUE WISE CCC-SLP (NPI 1740408608) is an individual speech-language pathologist provider in Memphis, Tennessee, licensed in Tennessee (0000001728) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1740408608
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY SUE WISECredential: CCC-SLP
Location Address4692 SPOTTSWOOD AVEMemphis, TN 38117-4822
Mailing Address585 Cedar Grove CvHernando, MS 38632-6656 · (901) 647-5682 · Fax (901) 761-7171
Fax(901) 761-7171
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1740408608 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
Licenses Licensed in TN · 0000001728 Licensed in MS · S2834
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.
4692 SPOTTSWOOD AVE, Memphis, TN 38117

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Pediatrics)
4692 SPOTTSWOOD AVE
MEMPHIS, TN 38117
Occupational Therapist (Pediatrics)
4692 SPOTTSWOOD AVE
MEMPHIS, TN 38117

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 Kimberly Wise's NPI number?

The NPI number for Kimberly Wise is 1740408608. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Kimberly Wise located?

Kimberly Wise practices at 4692 Spottswood Ave, Memphis, TN 38117. The listed phone number is (901) 647-5682.

What is Kimberly Wise'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 Kimberly Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.