Provider Demographics
NPI:1740023464
Name:WICKEMEYER, ALAINA KATHRYN
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:KATHRYN
Last Name:WICKEMEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 LIPIZZANER CT
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-4843
Mailing Address - Country:US
Mailing Address - Phone:540-327-1682
Mailing Address - Fax:
Practice Address - Street 1:114 LIPIZZANER CT
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-4843
Practice Address - Country:US
Practice Address - Phone:540-327-1682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant