Grayson Willson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14112 Issued in OH

Practice address

5700 Perimeter Dr Ste a
Dublin, OH 43017-3253

Phone

(614) 355-8708

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1245837590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 PERIMETER DR STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173253",
            "telephone_number": "614-355-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 PERIMETER DR STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173253",
            "telephone_number": "614-355-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449061865",
            "country_code": "US",
            "telephone_number": "567-307-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "GRAYSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Miranda Willis, LPN
• Corri Willison
• Trey Austin Willoughby
• Willow Health and Performance
• Torshae Wills
• Stephanie F Wilson-Bowens
• Liana Wilson-Pawlick, CNP
• Shirley Wilson-Staples
• Christopher D Wilson
• Deanna Wilson

• Speech-Language Pathologist in Dublin, OH
• Providers in Dublin, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.