Individual
MICHAELA MONTANA WILSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 THE PIKE, GROVER BEACH, CA 93433-3228
(805) 474-3740
Mailing address
1945 CARMEL CT, GROVER BEACH, CA 93433-3209
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8920
CA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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