NPI 1023283090

Jennifer Wilson, CCCSLP

Practitioner Speech-Language Pathologist Fort Wayne, IN

Practice location

Address: 808 Mill Lake Rd, Fort Wayne, IN 46845-6400
Phone: (260) 338-1241
Fax: (260) 338-1231

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 220060930 (IN)

Other Speech-Language Pathologist providers in Indiana →

Registry record

NPI: 1023283090
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.