Erica R Wilson in Conyers - Speech-language Pathologist
Erica R Wilson - NPI 1801890439
Erica R Wilson is a Speech-language Pathologist in Conyers, Georgia. Erica R Wilson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Erica R Wilson is 1801890439. The last update date is 2013-12-11.
Erica R Wilson's current location address is 3141 Brighton Pass, Conyers, Georgia. You can contact this provider via phone number 4042028490 and fax number 7706799344. The mailing address for Erica R Wilson is 3141 Brighton Pass, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erica R Wilson |
|---|---|
| Address | 3141 Brighton Pass, Conyers, Georgia |
| Phone Number | 4042028490 |
| Fax Number | 7706799344 |
| Sole Proprietor | Y |
| Credentials | MEDCCCSLP |
NPI Number Detail
| NPI Number | 1801890439 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2013-12-11 |
Provider Mailing Address Detail
| Address | 3141 Brighton Pass |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 3009433570 |
| Phone Number | 4042028490 |
| Fax Number | 7706799344 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP006266 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 435026966A | GA | -- |
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What is the Erica R Wilson's unique identification number?
The Erica R Wilson has been assigned the NPI (National Provider Identifier) Number 1801890439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Erica R Wilson located?
The Erica R Wilson is located at 3141 Brighton Pass, Conyers, GA 3009433570.
What is Erica R Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Erica R Wilson is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
When was the Erica R Wilson's 1801890439 issued?
The Erica R Wilson's 1801890439 was issued on 2005-06-10.
When was the Erica R Wilson's information last updated?
The Erica R Wilson's information was last updated on 2013-12-11.