Individual
ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
(512) 377-6318
Mailing address
633 W 5TH ST OFC 2876B, LOS ANGELES, CA 90071-2005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146017918
IL
235Z00000X
Speech-Language Pathologist
22008043A
IN
235Z00000X
Speech-Language Pathologist
Primary
30004107
NC
235Z00000X
Speech-Language Pathologist
6366
OK
235Z00000X
Speech-Language Pathologist
8065
CT
235Z00000X
Speech-Language Pathologist
SP-1418
WY
Other
Enumeration date
02/05/2025
Last updated
06/25/2025
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