Provider Demographics
NPI:1881773489
Name:OLIVER, WENDY SEAY (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SEAY
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 VERDE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-1646
Mailing Address - Country:US
Mailing Address - Phone:770-907-8061
Mailing Address - Fax:770-909-9912
Practice Address - Street 1:812 VERDE DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-1646
Practice Address - Country:US
Practice Address - Phone:770-907-8061
Practice Address - Fax:770-909-9912
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005292235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist