Individual
BRIDGET A. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
(718) 436-7979
Mailing address
130 BAY RIDGE PKWY, APT 2N, BROOKLYN, NY 11209-2306
(347) 393-2922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1943874
NY
Other
Enumeration date
04/18/2007
Last updated
07/20/2009
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