Wiksell, Carla M

Wiksell, Carla M is an individual health care provider with primary practice located at 600 N. Holtzclaw - Suite 200 , Chattanooga TN 37404-1240. 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. Wiksell, Carla M can be contacted via phone (423) 622-6900.

Contact Information

Primary practice address
600 N. Holtzclaw - Suite 200 Chattanooga TN 37404-1240
Phone: (423) 622-6900
Fax: (423) 622-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP0000001023 Tennessee
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003415 Georgia

Profile Details

NPI number 1093738569
LBN Legal business name Wiksell, Carla M
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 9th, 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 1093738569 NPPES
Tennessee Other 4640001 UNITEDHEALTHCARE ID#
Tennessee Other 3060846 UNITEDHEALTHCARE ID#
Tennessee MEDICAID 3060846 UNITEDHEALTHCARE ID#

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