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

Theresa Wilson, CCCSLP

Individual provider Speech-Language Pathologist · NPI 1194965244

Theresa Wilson, CCCSLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

9 Ira Ct
Brooklyn, NY 11229-5985
Phone: (718) 288-7401
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 003662-1 (NY)

Record details

NPI number1194965244
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCCSLP
Sole proprietorYes
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 3, 2009

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