Elizabeth Cathryn Wilson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL013626 Issued in PA

Practice address

440 N Broad St
Philadelphia, PA 19130-4015

Phone

(215) 317-2260

NPI assigned

Oct 31, 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

Other identifiers 1

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1487166435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 ROSEMORE AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383513",
            "telephone_number": "215-317-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304015",
            "telephone_number": "215-317-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "middle_name": "CATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SL013626",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyndraanita Wilson
• David D Wilson, MD
• David Nicholas Wilson
• Deneen Marguerite Wilson
• Elizabeth Wilson, CRNP
• Eneida B Wilson, DPT
• Jacqueline Deanna Wilson, MD
• Jacquelyne Wilson, CRNP
• James Wilson
• James M Wilson, MD, PHD

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.