Vayda Marie Wilson
Speech-Language Pathologist, in Middle Island, NY. Individual provider (NPI-1).
NPI number1760172076
StatusActive
Last updated in NPPESJun 18, 2023
Details
- NPI
- 1760172076
- Entity type
- Individual (NPI-1)
- Name
- Vayda Marie Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2023
- Certification date
- Jun 18, 2023
- Last updated
- Jun 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
35 Longwood RdMiddle Island, NY 11953-2045
Phone 631-924-0008
Mailing address
35 Longwood RdMiddle Island, NY 11953-2045
Phone 631-605-3857
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All 46 Speech-Language Pathologist providers in Middle Island · All 638 providers in Middle Island
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