Wiley, Pamela Sue

Wiley, Pamela Sue is an individual health care provider with primary practice located at 5761 Buckingham Pkwy , Culver City CA 90230-6515. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wiley, Pamela Sue can be contacted via phone (310) 649-6199.

Contact Information

Primary practice address
5761 Buckingham Pkwy Culver City CA 90230-6515
Phone: (310) 649-6199
Fax: (310) 649-5597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP3380 California

Profile Details

NPI number 1356664643
LBN Legal business name Wiley, Pamela Sue
Credentials PH.D., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2010
Last updated Mar 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356664643 NPPES
California Other GSP000290 MEDI-CAL

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