Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Sue Wise, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1740408608

Kimberly Sue Wise, CCC-SLP is a Speech-Language Pathologist in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Mississippi and Tennessee.

Licensed in
MS, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

4692 Spottswood Ave
Memphis, TN 38117-4822
Phone: (901) 647-5682
Fax: (901) 761-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0000001728 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence S2834 (MS)

Record details

NPI number1740408608
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

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