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NPI Code Detail

MEDICARE: MS. EMILY ELLEN WILDE SLP

MEDICARE:  MS. EMILY ELLEN WILDE  SLP
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
1235Z00000XSpeech-Language Pathologist0002112CO
2235Z00000XSpeech-Language PathologistSP16486CA

General Provider Information

NPI Number : 1558540633
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY ELLEN WILDE SLP
Provider Business Mailing Address
First Line : 1860 N LINCOLN ST FL 11
Second Line :
City : DENVER
State : CO
Zip : 80203-7301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1860 N LINCOLN ST FL 11
Second Line :
City : DENVER
State : CO
Zip : 80203-7301
Country : US
Telephone Number : 720-423-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2007
Last Update Date : 12/01/2025

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Directions to “ MS. EMILY ELLEN WILDE SLP” 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.