Wilson, Mary Ann

Wilson, Mary Ann is an individual health care provider with primary practice located at 1210 13Th St , Parkersburg WV 26101-4144. 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. Wilson, Mary Ann can be contacted via phone (304) 420-9663.

Contact Information

Primary practice address
1210 13Th St Parkersburg WV 26101-4144
Phone: (304) 420-9663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1467623306
LBN Legal business name Wilson, Mary Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 18 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 1467623306 NPPES
West Virginia MEDICAID 0153527000

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