MEDICARE: WEE PLAYTHERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA10357	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851647770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEE PLAYTHERAPY PLLC

Provider Business Mailing Address
First Line	:	904 LEE BLVD
Second Line	:	STE. 106
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4953
Country	:	US
Telephone Number	:	239-674-9374
Fax Number	:	239-491-3057

Provider Business Practice Location Address
First Line	:	904 LEE BLVD
Second Line	:	UNIT 106
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4953
Country	:	US
Telephone Number	:	239-674-9374
Fax Number	:	239-790-1335

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUSIE ANN HAMMERSLEY
Credential	:	CCC- SLP
Telephone Number	:	239-674-9374

Provider Enumeration Date	:	07/29/2012
Last Update Date	:	01/21/2016

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Directions to “WEE PLAYTHERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

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