Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly R Wilson, MS

Individual provider Speech-Language Pathologist · NPI 1477026763

Carly R Wilson, MS is a Speech-Language Pathologist in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2614 S 15th Pl
Broken Arrow, OK 74012-7286
Phone: (972) 741-4393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4136 (OK)

Record details

NPI number1477026763
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019

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