Dr. Kent J Wilson, Ph.D.
Speech-Language Pathologist, in Tucson, AZ. Individual provider (NPI-1).
NPI number1073523965
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073523965
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kent J Wilson
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP0268 | AZ | Yes |
Practice location
3601 S 6th AveTucson, AZ 85723-0001
Phone 520-792-1450 · Fax 520-629-1725
Mailing address
6135 E San BernardinoTucson, AZ 85715-3011
Phone 520-290-6422
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