Susan Elaine Wilson in Daytona Beach Shores - Developmental Therapist
Susan Elaine Wilson - NPI 1811027535
Susan Elaine Wilson is a Developmental Therapist in Daytona Beach Shores, Florida. Susan Elaine Wilson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Susan Elaine Wilson is 1811027535. The last update date is 2022-02-10.
Susan Elaine Wilson's current location address is 1 Oceans West Blvd, Daytona Beach Shores, Florida. You can contact this provider via phone number 3867955899. The mailing address for Susan Elaine Wilson is 1 Oceans West Blvd, Daytona Beach Shores, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Elaine Wilson |
|---|---|
| Address | 1 Oceans West Blvd, Daytona Beach Shores, Florida |
| Phone Number | 3867955899 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OCCUPATION |
NPI Number Detail
| NPI Number | 1811027535 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2022-02-10 |
Provider Mailing Address Detail
| Address | 1 Oceans West Blvd |
|---|---|
| City | Daytona Beach Shores |
| State | Florida (FL) |
| Post Code | 321185946 |
| Phone Number | 3867955899 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z8875 | FL | BCBS | |
| 880176200 | FL | -- | |
| 717141600 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Elaine Wilson by the Centers for Medicare & Medicaid Services?
The Susan Elaine Wilson has been issued the NPI (National Provider Identifier) 1811027535. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan Elaine Wilson is physically located?
The Susan Elaine Wilson is situated at the following address: 1 Oceans West Blvd, Daytona Beach Shores, FL 321185946.
What is Susan Elaine Wilson's area of expertise and its corresponding taxonomy classification?
The Susan Elaine Wilson's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811027535 to Susan Elaine Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1811027535 to Susan Elaine Wilson on 2007-03-06.
As of what date were the details related to Susan Elaine Wilson most recently updated or revised?
The information pertaining to Susan Elaine Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-10.