Provider Demographics
NPI:1124254875
Name:WILSON, TOBY ELIZABETH (AUD)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:ELIZABETH
Last Name:WILSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5000 CHESHIRE PKWY N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-4103
Mailing Address - Country:US
Mailing Address - Phone:888-510-0766
Mailing Address - Fax:763-268-4017
Practice Address - Street 1:1515 GOLF COURSE RD SE
Practice Address - Street 2:STE 103
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2071
Practice Address - Country:US
Practice Address - Phone:505-933-6315
Practice Address - Fax:505-891-5103
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4526237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter