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

Individual provider Speech-Language Pathologist · NPI 1659572188

Kimberly Wiskow, MSCCC-SLP is a Speech-Language Pathologist in Southlake, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
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Practice location Address checks out

855 Davis Blvd Ste 600
Southlake, TX 76092-8244
Phone: (817) 310-3457
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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 101452 (TX)

Record details

NPI number1659572188
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 8, 2007

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