Individual
FAITH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 MONTCLAIR RD, IRONDALE, AL 35210-2208
(800) 381-0822
(352) 565-5201
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
(352) 565-5201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5823
AL
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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