Wakefield, Tessie S

Wakefield, Tessie S is an individual health care provider with primary practice located at 270 Sterkel Blvd The Rehab Center, Mansfield OH 44907-2207. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wakefield, Tessie S can be contacted via phone (419) 756-1133.

Contact Information

Primary practice address
270 Sterkel Blvd The Rehab Center Mansfield OH 44907-2207
Phone: (419) 756-1133
Fax: (419) 756-6544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP3045 Ohio

Profile Details

NPI number 1992803423
LBN Legal business name Wakefield, Tessie S
Credentials MA CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992803423 NPPES
Other 000000125366 ANTHEM
Other 3407897499218 ANTHEM

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