Provider Demographics
NPI:1659598472
Name:WILSON ARBOLEDA, BARBARA M (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:M
Last Name:WILSON ARBOLEDA
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-3327
Mailing Address - Country:US
Mailing Address - Phone:781-329-2262
Mailing Address - Fax:
Practice Address - Street 1:597 HIGH ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1863
Practice Address - Country:US
Practice Address - Phone:781-329-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5911235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA52132OtherHARVARD PILGRIM HEALTHCAR
MASP0189OtherBLUE CROSS BLUE SHIELD