Mrs Candice Lynn Wilson, MS CCC SLP is a
Speech-language Pathologist based in Griswold, Connecticut. Mrs Candice Lynn Wilson is licensed to practice in Connecticut (license number 003725) and her current practice location is
97 Preston Rd, Griswold, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 376-4438.
NPI number for Mrs Candice Lynn Wilson is 1326257189 and her current mailing address is 30 Nichols Ln, Waterford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326257189.
Healthcare Provider's Profile
Full Name | Mrs Candice Lynn Wilson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 97 Preston Rd, Griswold, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326257189
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Candice Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326257189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 003725 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Candice Lynn Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Candice Lynn Wilson, MS CCC SLP 30 Nichols Ln, Waterford, CT 06385-3611 Ph: () - | Mrs Candice Lynn Wilson, MS CCC SLP 97 Preston Rd, Griswold, CT 06351-2516 Ph: (860) 376-4438 |
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