Wilson, Michaelyn

Wilson, Michaelyn is an individual health care provider with primary practice located at 120 Hanworth Ln , Daniels WV 25832-9029. 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, Michaelyn can be contacted via phone (304) 345-6313.

Contact Information

Primary practice address
120 Hanworth Ln Daniels WV 25832-9029
Phone: (304) 345-6313
Fax: (304) 763-7954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1289 West Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP9302 Ohio

Profile Details

NPI number 1932396397
LBN Legal business name Wilson, Michaelyn
Credentials M.C/CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Oct 19th, 2010 - about 16 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 1932396397 NPPES
Kentucky MEDICAID 30610026

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