Provider Demographics
NPI:1427473008
Name:WILHELM, MOLLY ZANE (SLP)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ZANE
Last Name:WILHELM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 ARTMAR DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-2018
Mailing Address - Country:US
Mailing Address - Phone:440-225-6290
Mailing Address - Fax:
Practice Address - Street 1:6402 ARTMAR DR
Practice Address - Street 2:
Practice Address - City:CONCORD TWP
Practice Address - State:OH
Practice Address - Zip Code:44077-2018
Practice Address - Country:US
Practice Address - Phone:440-277-1220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP. 6324235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist