Doctor Name: | TOMI LYNN WILSON |
NPI Number: | 1124191507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | LL60122969 |
Business Practice Address: | 101 Brandon Way Coraopolis, PA - 151083779 |
Business Phone Number: | 5038911511 |
Business Fax Number: | |
Mailing Address: | 101 Brandon Way, CORAOPOLIS |
State: | PA |
Postal Code: | 151083779 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL60122969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |