| Charles Brandon Wilson, SLP | |
|
1007 E Cooley Dr # 107, Colton, CA 92324-3901 | |
| (909) 388-2200 | |
| Not Available |
| Full Name | Charles Brandon Wilson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 1007 E Cooley Dr # 107, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740981711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Easy Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124434261 PECOS PAC ID: 2163716457 Enrollment ID: O20160809002788 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Brandon Wilson, SLP 6051 Applecross Dr, Riverside, CA 92507-6493 Ph: (562) 715-8105 | Charles Brandon Wilson, SLP 1007 E Cooley Dr # 107, Colton, CA 92324-3901 Ph: (909) 388-2200 |
Karrl Vitor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1007 E Cooley Dr # 107, Colton, CA 92324 Phone: 760-340-9832 | |
Jennifer Hamman, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr, Ste. 101, Colton, CA 92324 Phone: 909-783-1111 | |
Kristina Easterbrook, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr, Ste 101, Colton, CA 92324 Phone: 909-783-1111 Fax: 909-783-3957 | |
Larhonda M Smith, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1230 E Washington St, Suite Pa-2, Colton, CA 92324 Phone: 909-825-6716 Fax: 909-825-4339 | |
Ms. Margaret Sue Ninneman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1350 Reche Canyon Rd, Colton, CA 92324 Phone: 909-370-4411 | |
Michael Simpson, MS SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 796 Atchison St, Colton, CA 92324 Phone: 909-499-8754 | |
Nicole Samuel, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr, Ste 101, Colton, CA 92324 Phone: 909-783-1111 Fax: 909-783-3957 |