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Contact Information

TANYSHA G WILSON, MA CCC-SLP L
314 HUTCHINSON AVE
FLORENCE, SC29505
 Phone: 843-664-0372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TANYSHA G WILSON · (Female)

NPI Number 1720249287
Status Active
Credentials MA CCC-SLP L
Entity Individual
Enumeration date 06/18/2008
Last updated 06/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 09141511
  • SC License # 2797
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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