Provider Demographics
NPI:1487075834
Name:WYCHE, SESSIA IV (SLPA)
Entity type:Individual
Prefix:MR
First Name:SESSIA
Middle Name:
Last Name:WYCHE
Suffix:IV
Gender:M
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26975 BAKER POTTS RD
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-3762
Mailing Address - Country:US
Mailing Address - Phone:956-536-8854
Mailing Address - Fax:956-391-2825
Practice Address - Street 1:25673 BECKHAM RD
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-6356
Practice Address - Country:US
Practice Address - Phone:956-230-3301
Practice Address - Fax:956-230-1179
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-01
Last Update Date:2014-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX369192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant