National Provider Identifier
Susan M. Wilson
Susan M. Wilson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 828-9560.
Profile Overview
- NPI
- 1588983779
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 27, 2010
- Last Updated
- September 19, 2012
Practice Location
- 51 St. John'S Parkside
- Baker Victory Services
- Buffalo, NY 14210
Phone: (716) 828-9560
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1588983779
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Susan
- Middle Name
- M.
- Mailing Street Address
- 51 St. John'S Parkside
- Mailing Address Line 2
- Baker Victory Services
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210
- Mailing Country
- US
- Mailing Phone
- (716) 828-9560
- Practice Street Address
- 51 St. John'S Parkside
- Practice Address Line 2
- Baker Victory Services
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210
- Practice Country
- US
- Practice Phone
- (716) 828-9560
- Enumeration Date
- May 27, 2010
- Last Updated
- September 19, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)