Individual
HEATHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4428 NW 36TH ST, GAINESVILLE, FL 32605-5417
(352) 328-5606
Mailing address
4428 NW 36TH ST, GAINESVILLE, FL 32605-5417
(352) 328-5606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09144428 (ASHA)
—
Other
Enumeration date
05/02/2007
Last updated
03/17/2018
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