Healthcare Provider Details

I. General information

NPI: 1275966905
Provider Name (Legal Business Name): BRITTANY S WISEMAN M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 FIDDLERS RUN BLVD
MORGANTON NC
28655-0095
US

IV. Provider business mailing address

2880 HIGHLINE AVE
VALDESE NC
28690-9537
US

V. Phone/Fax

Practice location:
  • Phone: 828-430-3558
  • Fax:
Mailing address:
  • Phone: 828-443-2084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: