Mrs Lori Lynn Wildt, MS CCC/SLP - Speech-Language Pathologist in N Tonawanda, NY

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Mrs Lori Lynn Wildt, MS CCC/SLP is a Speech-language Pathologist based in N Tonawanda, New York. Mrs Lori Lynn Wildt is licensed to practice in New York (license number 006682-1) and her current practice location is 7135 Pendale Cir, N Tonawanda, New York. She can be reached at her office (for appointments etc.) via phone at (716) 692-5776.

NPI number for Mrs Lori Lynn Wildt is 1366611865 and her current mailing address is 7135 Pendale Cir, N Tonawanda, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366611865.

Contact Information

Mrs Lori Lynn Wildt, MS CCC/SLP
7135 Pendale Cir,
N Tonawanda, NY 14120-9714
(716) 692-5776
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lori Lynn Wildt
GenderFemale
SpecialitySpeech-language Pathologist
Location7135 Pendale Cir, N Tonawanda, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366611865
  • Provider Enumeration Date: 02/28/2008
  • Last Update Date: 10/01/2008

Medical Identifiers

Medical identifiers for Mrs Lori Lynn Wildt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366611865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 006682-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lori Lynn Wildt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lori Lynn Wildt, MS CCC/SLP
7135 Pendale Cir,
N Tonawanda, NY 14120-9714

Ph: (716) 692-5776		Mrs Lori Lynn Wildt, MS CCC/SLP
7135 Pendale Cir,
N Tonawanda, NY 14120-9714

Ph: (716) 692-5776

Reviews and Comments


Speech-Language Pathologist in N Tonawanda, NY


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