Provider Demographics
NPI:1831565704
Name:WILSON, HELEN
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W TRENTON AVE
Mailing Address - Street 2:PO BOX 46
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-3571
Mailing Address - Country:US
Mailing Address - Phone:215-295-7126
Mailing Address - Fax:215-295-1403
Practice Address - Street 1:900 W TRENTON AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-3571
Practice Address - Country:US
Practice Address - Phone:215-295-7126
Practice Address - Fax:215-295-1403
Is Sole Proprietor?:No
Enumeration Date:2015-08-14
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF032582355A2700X, 237700000X
NJ25MG00113100237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Yes2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology Assistant