| Doctor Name: | AMY J WILMA |
| NPI Number: | 1245471697 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.-CCC/SLP |
| License Number: | 8328 |
| Business Practice Address: | 7250 France Ave S Ste 305 Edina, MN - 554354313 |
| Business Phone Number: | 9522852840 |
| Business Fax Number: | 9522858230 |
| Mailing Address: | 7250 France Ave S Ste 305, EDINA |
| State: | MN |
| Postal Code: | 554354313 |
| Phone Number: | 9522852840 |
| Fax Number: | 9522852830 |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 8328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |