Doctor Name: | MRS. WHITNEY CLAIRE HOWARTH WILSON |
NPI Number: | 1902163603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | S3375 |
Business Practice Address: | 8596 Farmington Blvd Germantown, TN - 381393331 |
Business Phone Number: | 9013282110 |
Business Fax Number: | |
Mailing Address: | 4555 Aldersgate Rd, MEMPHIS |
State: | TN |
Postal Code: | 381173503 |
Phone Number: | 9012188334 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |