Pamela Sue Wiley, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3380 Issued in CA

Practice address

5761 Buckingham Pkwy
Culver City, CA 90230-6515

Phone

(310) 649-6199

Fax

(310) 649-5597

NPI assigned

Mar 1, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1356664643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 BUCKINGHAM PKWY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306515",
            "telephone_number": "310-649-6199",
            "fax_number": "310-649-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 BUCKINGHAM PKWY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306515",
            "telephone_number": "310-649-6199",
            "fax_number": "310-649-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GSP000290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Whyte Burgan
• Sheila Wiebens
• Lucia R Wiedeman
• Christopher Ransome Wilcox
• Ashley Wiley, M.A.
• Kia Wilkins
• Diane Carel Willey
• Aviona Williams
• Belinda Williams
• Carmon Nacole Williams

• Speech-Language Pathologist in Culver City, CA
• Providers in Culver City, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.