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NPI Code Detail

MEDICARE: ARIEL MARIE WILSON M.S., CCC-SLP

MEDICARE: ARIEL MARIE WILSON M.S., CCC-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 Pathologist118047TX

General Provider Information

NPI Number : 1841911864
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL MARIE WILSON M.S., CCC-SLP
Provider Business Mailing Address
First Line : 3500 RIESLING DR
Second Line :
City : ARGYLE
State : TX
Zip : 76226-2464
Country : US
Telephone Number : 903-805-0828
Fax Number :
Provider Business Practice Location Address
First Line : 1333 CORPORATE DR STE 245
Second Line :
City : IRVING
State : TX
Zip : 75038-7514
Country : US
Telephone Number : 214-591-0061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/22/2025

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Directions to “ ARIEL MARIE WILSON M.S., CCC-SLP” Practice Location

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