Provider Demographics
NPI:1154576940
Name:WILSON, MARGARET ANN (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET ANN
Middle Name:
Last Name:WILSON
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SHARD CT
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3351
Mailing Address - Country:US
Mailing Address - Phone:914-455-2147
Mailing Address - Fax:
Practice Address - Street 1:9 SHARD CT
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3351
Practice Address - Country:US
Practice Address - Phone:914-455-2147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007663235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist