Provider Demographics
NPI:1841442571
Name:WISER, MONICA F (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:F
Last Name:WISER
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1102
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29901-1102
Mailing Address - Country:US
Mailing Address - Phone:843-521-3007
Mailing Address - Fax:888-521-3007
Practice Address - Street 1:38 PROFESSIONAL VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29907-1570
Practice Address - Country:US
Practice Address - Phone:843-521-3007
Practice Address - Fax:888-521-3007
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3407231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist