Nice, Wilson

Nice, Wilson is an individual health care provider with primary practice located at 409 N California St , Socorro NM 87801-4208. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Nice, Wilson can be contacted via phone (505) 907-1902.

Contact Information

Primary practice address
409 N California St Socorro NM 87801-4208
Phone: (505) 907-1902
Fax: (833) 448-2997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 15254 North Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5194 New Mexico

Profile Details

NPI number 1205135753
LBN Legal business name Nice, Wilson
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Dec 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205135753 NPPES
North Carolina MEDICAID 1184855181
North Carolina MEDICAID 03260720002-GRT

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