Individual
LINDSAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 SAGE BLUFF XING, FORT WAYNE, IN 46804-2363
(260) 443-7300
Mailing address
1365 GATEWAY TRL, FORT WAYNE, IN 46845-5502
(260) 417-5052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005167A
IN
Other
Enumeration date
01/27/2011
Last updated
07/18/2025
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