Individual
DANYEL KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
Mailing address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
46003497A
IN
235Z00000X
Speech-Language Pathologist
Primary
22007439A
IN
Other
Enumeration date
01/14/2019
Last updated
02/21/2020
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