Individual provider · Type 1 NPI

Carlie Ann Wilson

Speech-Language Assistant · Flagstaff, AZ

NPI number 1366208290 Active

Practice location

1 W Runke Dr Apt 5311
Flagstaff, AZ 86001-6570

Call (928) 713-2595 Map

Mailing address

2081 Jupiter Ln
Prescott, AZ 86301-4314

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X14989 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1366208290

Carlie Ann Wilson's National Provider Identifier is 1366208290, issued on Feb 27, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Flagstaff, AZ. The record was last updated on Feb 27, 2024.