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

Mary Grace Wilson

Individual provider Speech-Language Pathologist · NPI 1174347413

Mary Grace Wilson is a Speech-Language Pathologist in Santa Monica, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1932 14th St
Santa Monica, CA 90404-4605
Phone: (310) 344-2276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30787 (CA)

Record details

NPI number1174347413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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