Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia Marie Willishenry, MACCCSLP, MACCC-A

Individual provider Audiologist · NPI 1609100874

Olivia Marie Willishenry, MACCCSLP, MACCC-A is an Audiologist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
3
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Practice location Address checks out

555 Saturn Blvd Ste 361
San Diego, CA 92154-4766
Phone: (951) 473-9570
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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 SP5477 (CA)
Audiologist Taxonomy 231H00000X · Licence AU874 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1609100874
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP , MACCC-A
Sole proprietorYes
NPI enumeratedSeptember 21, 2009
Last updated in NPPESDecember 24, 2023
Certification dateDecember 24, 2023

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