| Doctor Name: | MRS. MARIBEL WILLSON |
| NPI Number: | 1114259850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.CCC SLP,TSSLD,BE |
| License Number: | 3760 |
| Business Practice Address: | 15630 W 140th Ter Olathe, KS - 660626541 |
| Business Phone Number: | 6462343756 |
| Business Fax Number: | 6463688086 |
| Mailing Address: | 15630 W 140th Ter, OLATHE |
| State: | KS |
| Postal Code: | 660626541 |
| Phone Number: | 6462343756 |
| Fax Number: | 6463688086 |
| NPI Enumeration Date: | 02/05/2010 |
| NPI Last Update Date: | 05/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3760 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| 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 |