Doctor Name: | MICHELE WILSON |
NPI Number: | 1013096239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SP-7435 |
Business Practice Address: | 3148 W Central Ave Toledo, OH - 436062920 |
Business Phone Number: | 4192416219 |
Business Fax Number: | 4192415912 |
Mailing Address: | 3205 Wendover Dr, TOLEDO |
State: | OH |
Postal Code: | 436061863 |
Phone Number: | 4192416219 |
Fax Number: | 4192415912 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-7435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |