Wilson, Misty

Wilson, Misty is an individual health care provider with primary practice located at 515 W Lingleville Rd , Stephenville TX 76401-2211. 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, Misty can be contacted via phone (254) 965-3611.

Contact Information

Primary practice address
515 W Lingleville Rd Stephenville TX 76401-2211
Phone: (254) 965-3611
Fax: (254) 965-3618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 15855 Texas

Profile Details

NPI number 1407931421
LBN Legal business name Wilson, Misty
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 17th, 2018 - about 7 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 1407931421 NPPES
Texas MEDICAID 089311704
Texas Other 8T5521

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