National Provider Identifier
Carol Jean Wilbur, CCC-SLP
Carol Jean Wilbur, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Brockport, NY and a listed phone number of (585) 247-5050.
Profile Overview
- NPI
- 1336425842
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 28, 2011
- Last Updated
- October 28, 2011
Practice Location
- 5489 Lake RD S
- Brockport, NY 14420-9754
Phone: (585) 247-5050
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1336425842
- Entity Type
- Individual
- Last Name
- Wilbur
- First Name
- Carol
- Middle Name
- Jean
- Name Prefix
- Mrs.
- Credential
- CCC-SLP
- Mailing Street Address
- 5489 Lake RD S
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-9754
- Mailing Country
- US
- Mailing Phone
- (585) 247-5050
- Practice Street Address
- 5489 Lake RD S
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-9754
- Practice Country
- US
- Practice Phone
- (585) 247-5050
- Enumeration Date
- October 28, 2011
- Last Updated
- October 28, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)