Individual
RACHEL A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
3620 ALEXANDER DR, LA GRANGE, KY 40031-9069
(812) 459-7769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140603
KY
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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