IndividualActive
Jaden Wilson
NPI 1700469061 · Speech-Language Pathologist · Independence, IA
Provider details
- NPI number
- 1700469061
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 108421 (IA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1600 1st St E
Independence, IA 50644-3155
Phone: (319) 332-0850
Approximate (ZIP-level) locationGet directions
Mailing address
703 3rd St
La Porte City, IA 50651-1506
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.