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

Elise Kathryn Wild, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255755633

Elise Kathryn Wild, MS, CCC-SLP is a Speech-Language Pathologist in Charlotte, North Carolina. Licensed in Delaware and North Carolina. Registered with an NPI since 2014.

Licensed in
DE, NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone: (704) 295-3000
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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 13354 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence O1-0001358 (DE)

Record details

NPI number1255755633
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 6, 2014
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

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