Steffani Lynn Wilson, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Jericho, VT
NPI 1053733113 · NPPES record last updated Jan 9, 2014
Key facts
- NPI
- 1053733113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 9 Pinehurst Dr
Jericho, VT 05465-6500 - Phone
- (802) 730-4472
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | VT | Yes |
Addresses
Primary practice location
9 Pinehurst Dr
Jericho, VT 05465-6500
Mailing address
9 Pinehurst Dr
Jericho, VT 05465-6500
Phone (802) 730-4472
Other providers in Jericho, VT
- Scott D Simpson
- Synergy Counseling Group, LLC
- Transitions Physical Therapy LLC
- Kristyn V Waite
- John Tracy Warren
- Sonya Worth
All providers in Jericho, VT · Speech-Language Pathologist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.