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: July 19, 2026.

  • Individual
  • Female
  • Speech-Language Pathologist

About KIMBERLY WISE

This page provides the complete NPI Profile along with additional information for Kimberly Wise, a provider established in Memphis, Tennessee with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1740408608 assigned on April 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 0000001728 (TN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1740408608 Verify this NPI
Provider Name
KIMBERLY SUE WISE CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
4692 SPOTTSWOOD AVE MEMPHIS, TN 38117
Location Phone
(901) 647-5682
Location Fax
(901) 761-7171
Mailing Address
585 CEDAR GROVE CV HERNANDO, MS 38632
Mailing Phone
(901) 647-5682
Mailing Fax
(901) 761-7171
Is Sole Proprietor?
Yes
Enumeration Date
04-23-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
0000001728
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

S2834 (MS)

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740408608, enumerated as an "individual" on April 23, 2007.

The provider is located at 4692 SPOTTSWOOD AVE MEMPHIS, TN 38117 and the phone number is (901) 647-5682.

Speech-Language Pathologist with taxonomy code 235Z00000X.