Wilson, Beth R

Wilson, Beth R is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilson, Beth R can be contacted via phone (817) 569-4395.

Contact Information

Primary practice address
3840 Hulen St Htn, Client Accounting Fort Worth TX 76107-7277
Fax: (817) 569-4517
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 100554 Texas

Profile Details

NPI number 1467515742
LBN Legal business name Wilson, Beth R
Credentials S.L.P
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 21st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467515742 NPPES
Texas MEDICAID 157410501
Texas Other 8T1181

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