MEDICARE: AMBER LYNN WILLSON M.S., CCC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP-0964	WV

General Provider Information

NPI Number	:	1083832489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER LYNN WILLSON M.S., CCC-S

Provider Business Mailing Address
First Line	:	1653 SCOTT RIDGE RD
Second Line	:
City	:	BEAVER
State	:	WV
Zip	:	25813-9469
Country	:	US
Telephone Number	:	304-763-3463
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 GEORGE ST
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2648
Country	:	US
Telephone Number	:	304-929-2665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1851242101 — HAYLEE MEADOWS
Practice Location Address:

130 GEORGE ST STE J
BECKLEY, WV
25801-2648

Practice Phone: 304-929-2670
Practice Fax:

1821949173 — COURTNEY L JUDE
Practice Location Address:

130 GEORGE ST STE J
BECKLEY, WV
25801-2648

Practice Phone: 304-929-2670
Practice Fax: 304-573-6862

1962546622 — PYRAMID COUNSELING LIMITED LIABILITY COMPANY
Practice Location Address:

130 GEORGE ST # 6 , SUITE E - F
BECKLEY, WV
25801-2648

Practice Phone: 304-256-0200
Practice Fax: 304-256-0380

1386839868 — MRS. SUSAN RAY STEWART AMINISTRATOR
Practice Location Address:

130 GEORGE ST STE J
BECKLEY, WV
25801-2648

Practice Phone: 336-570-1748
Practice Fax: 336-570-0905

1518148386 — MILESTONES PHYSICAL THERAPY INC.
Practice Location Address:

130 GEORGE ST STE A
BECKLEY, WV
25801-2648

Practice Phone: 304-929-2665
Practice Fax: 304-929-2667

1316100522 — DWAYNE F MASTERS
Practice Location Address:

130 GEORGE ST # 6 , SUITE E-F
BECKLEY, WV
25801-2648

Practice Phone: 304-256-0200
Practice Fax: 304-256-0380

Directions to “ AMBER LYNN WILLSON M.S., CCC-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.