Doctor Name: | MRS. MARYBETH A. WILSON |
NPI Number: | 1043486053 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 7854 |
Business Practice Address: | 1716 Legion Rd Chapel Hill, NC - 275172390 |
Business Phone Number: | 9199422280 |
Business Fax Number: | |
Mailing Address: | 1716 Legion Rd, CHAPEL HILL |
State: | NC |
Postal Code: | 275172390 |
Phone Number: | 9199422280 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |