Dora Wilson, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10922 Issued in TX

Practice address

3201 Cherry Ridge St
Ste C-323
San Antonio, TX 78230-4823

Phone

(210) 349-1415

Fax

(210) 349-1417

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

No

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 Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Learning, LP

  • Speech-Language Pathologist
  • San Antonio, TX
  • NPI 1477530764
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1306370986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST",
            "address_2": "STE C-323",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-349-1415",
            "fax_number": "210-349-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST",
            "address_2": "STE C-323",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-349-1415",
            "fax_number": "210-349-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DORA",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Rae Wilson
• Crystal Wilson
• Davante John Wilson, DO
• Deja Wilson
• Donna Catherine Wilson, ED.D.
• Drake Wilson, PHARMD
• Elizabeth Conzel Wilson, DPT
• Hallie Riedel Wilson, MD
• Hannah Nicole Wilson, PA-C
• Harold Enell Wilson, MD

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.