IndividualActive
Alicia Wilson, MS
NPI 1609352806 · Speech-Language Pathologist · Moore, OK
Provider details
- NPI number
- 1609352806
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- License
- 4117 (OK)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1040 Sw 4th St
Moore, OK 73160-2405
Phone: (405) 736-8478
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Sw 4th St
Moore, OK 73160-2405
Registry dates
- Enumerated
- 2018-07-11
- Last updated
- 2018-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.