Doctor Name: | SUSAN D WILSON |
NPI Number: | 1558375956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3501003110 |
Business Practice Address: | 110 Beech St Tawas City, MI - 487638314 |
Business Phone Number: | 9893628196 |
Business Fax Number: | 9893620967 |
Mailing Address: | Po Box 406153, ATLANTA |
State: | GA |
Postal Code: | 303841876 |
Phone Number: | 9893457550 |
Fax Number: | 9893457590 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 01/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 3501003110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |