MEDICARE: ELIZABETH CATHRYN WILSON

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	SL013626	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487166435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CATHRYN WILSON

Provider Business Mailing Address
First Line	:	2423 ROSEMORE AVE
Second Line	:
City	:	GLENSIDE
State	:	PA
Zip	:	19038-3513
Country	:	US
Telephone Number	:	215-317-2260
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-4015
Country	:	US
Telephone Number	:	215-317-2260
Fax Number	:

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

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	10/31/2017

Similar Medicare Providers

1881219293 — THOMAS MICHAEL HERB MD
Practice Location Address:

400 N BROAD ST
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-685-7458
Practice Fax:

1447307517 — SCHOOL DISTRICT OF PHILADELPHIA
Practice Location Address:

440 N BROAD ST , 3RD FLOOR - SUITE 323
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-400-4580
Practice Fax: 215-400-4582

1639528748 — MRS. LINDA WILSON FMP
Practice Location Address:

440 N BROAD ST
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-471-2904
Practice Fax:

1881213106 — BAHADIR YILDIZ MD
Practice Location Address:

400 N BROAD ST
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-685-7458
Practice Fax:

1598356206 — PHILADELPHIA AREA SCHOOL DISTRICT
Practice Location Address:

440 N BROAD ST
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-681-6688
Practice Fax:

1215664560 — DANA DIBLASI RN
Practice Location Address:

440 N BROAD ST
PHILADELPHIA, PA
19130-4015

Practice Phone: 215-400-4000
Practice Fax:

Directions to “ ELIZABETH CATHRYN WILSON ” 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.