MICAH ALDEN WYLIE

EUGENE, OR
NPI1285467720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OR  17838)
Enumeration Date2024-08-21
Last Update Date2024-08-21
Business Address
Mr. MICAH ALDEN WYLIE SLP
3720 N CLAREY ST
EUGENE, OR 97402-8744
Phone number: 458-201-4936
Mailing Address
Mr. MICAH ALDEN WYLIE SLP
1185 FIR ACRES DR
EUGENE, OR 97401-1884
Phone number: 310-666-8623