Active NPIIndividual provider

Mrs. Candice L Wilson, MS CCC SLP

Speech-Language Pathologist, in Griswold, Connecticut

NPI Number1326257189
Practice location
97 Preston RD, Griswold, CT 06351-2516
Fax
—
Last updated
July 8, 2007

Candice Lynn Wilson is a Speech-Language Pathologist, based in Griswold, CT. Candice Lynn Wilson practices in Griswold, CT and has the professional credentials of MS CCC SLP. The NPI Number for Candice Lynn Wilson is 1326257189 and holds a License No. 003725 (CT). The current practice location address for Candice Lynn Wilson is 97 Preston RD, Griswold, CT 06351-2516 and can be reached out via phone at 860-376-4438.

Provider Profile Details

NPI Number
1326257189
Provider Name
Candice Lynn Wilson
Credential
MS CCC SLP
Provider Entity Type
Individual
Gender
Female
Address
97 Preston RD, Griswold, CT 06351-2516
Phone Number
860-376-4438
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Preston RD
Griswold, CT 06351-2516
Zip
06351-2516
Phone Number
860-376-4438
Griswold, CT 06351Get directions →

Provider Business Mailing Address Details

Address
30 Nichols Ln
Waterford, CT 06385-3611
City
Waterford
State
CT
Zip
06385-3611

License Information

License Number
003725
License State
CT
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Candice L Wilson, MS CCC SLP?

The NPI number of Mrs. Candice L Wilson, MS CCC SLP is 1326257189. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Candice L Wilson, MS CCC SLP?

Mrs. Candice L Wilson, MS CCC SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 003725.

Where does Mrs. Candice L Wilson, MS CCC SLP practice?

The practice location is 97 Preston RD, Griswold, CT 06351-2516. The office can be reached at 860-376-4438 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326257189 directly on the NPPES registry website.

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