Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922360197 Individual Practitioner Female Practitioner

Laura Ann Wilson , MA, CCC-SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Laura Wilson, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 841 PRUDENTIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

841 Prudential Dr
Suite 140

Jacksonville, FL 322078329

Telephone 9043460394
Associated Practice Facility / Clinic
🏢 Zonecare Usa Of Delray, Llc Facility NPI 1467724344

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA11580

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Jennifer Castillo , PT

Physical Therapist

NPI 1104083898

Physical Therapist

Shelley Liebetrau , MS, CF-SLP

Speech-Language Pathologist

NPI 1134661499

Master of Science, Clinical Fellow in Speech-Language Pathology

Jordan Swain

Speech-Language Pathologist

NPI 1235560038
Grace Horgan , MOT, OTR, L

Occupational Therapist - Pediatrics

NPI 1306104609

Master of Occupational Therapy, Occupational Therapist Registered, L

Prachy Garg , OTR, L

Occupational Therapist

NPI 1407006307

Occupational Therapist Registered, L

Kerry Glidewell , MA CCC-SLP

Speech-Language Pathologist

NPI 1407167877

MACCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address May 13, 2020

Registered at 12925 DEEP LAGOON PL E, JACKSONVILLE, FL 322461048 (Tel: 8509826348)

NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2015

Registered at 841 PRUDENTIAL DR, SUITE 140, JACKSONVILLE, FL 322078329 (Tel: 9043460394)

📍
Updated Business Mailing Address September 10, 2015

Registered at 13872 DEER CHASE PL, JACKSONVILLE, FL 322246844 (Tel: 8509826348)

👤
Provider Name / Credentials Updated September 10, 2015

Recorded as LAURA WILSON, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Speech-Language Pathologist (License #SA11580 in FL)

🟢
Initial NPI Registration & Enumeration June 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922360197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2012
Last Update: May 13, 2020
Sole Proprietor: Yes

Mailing Address

12925 Deep Lagoon Pl E

Jacksonville, FL 322461048

Phone: 8509826348

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.