Amber Lynn Willson, M.S., CCC-S

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-0964 Issued in WV

Practice address

130 George St
Beckley, WV 25801-2648

Phone

(304) 929-2665

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083832489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 SCOTT RIDGE RD",
            "city": "BEAVER",
            "state": "WV",
            "postal_code": "258139469",
            "telephone_number": "304-763-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012648",
            "telephone_number": "304-929-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "M.S., CCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Wills
• James M Wills, MD
• Joshua Seth Wills
• Kyra Wills
• Michael Todd Wills
• Andrew Wilson, MA
• Angela Nicole Wilson
• David Ray Wilson III
• Dyneka Wilson
• Keri Wilson, BSN

• Speech-Language Pathologist in Beckley, WV
• Providers in Beckley, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.