Provider Demographics
NPI:1821272568
Name:PEYTON, WENDY ALEXANDER (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ALEXANDER
Last Name:PEYTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 PENSHURST DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9107
Mailing Address - Country:US
Mailing Address - Phone:901-861-1165
Mailing Address - Fax:
Practice Address - Street 1:1891 PENSHURST DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9107
Practice Address - Country:US
Practice Address - Phone:901-861-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist