| Doctor Name: | MS. WANDA J. BUCHANAN |
| NPI Number: | 1003964453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ST |
| License Number: | SLP-0001 |
| Business Practice Address: | Rr 2 Box 169-g Grayrock Professional Park Lewisburg, WV - 249019316 |
| Business Phone Number: | 3046451706 |
| Business Fax Number: | 3046454085 |
| Mailing Address: | 420 W Pinhook Rd, Suite A LAFAYETTE |
| State: | LA |
| Postal Code: | 705032131 |
| Phone Number: | 3372331307 |
| Fax Number: | 3372335764 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-0001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |