Organization
WILSON SPEECH, LANGAUGE, AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA WILSON (OWNER)
(919) 869-6161
Entity
Organization
Contact information
Practice address
852 OLD COUNTRY RD SE, PALM BAY, FL 32909-6889
(919) 869-6161
Mailing address
852 OLD COUNTRY RD SE, PALM BAY, FL 32909-6889
(919) 869-6161
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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