Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205205093 Deactivated / Inactive NPI Female Practitioner

Mary Wilson , CCC-SLP

Speech-Language Pathologist • Arlington, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2015
NPI Deactivation Date May 08, 2024
Total Practice Duration ~9 Years of Practice (2015 – 2024)

Professional Overview & Biography Verified Profile Summary

Mary Wilson, CCC-SLP was a registered Speech-Language Pathologist practicing in Arlington, TX. Throughout an active medical career spanning 9 years, Mary Wilson provided care at the practice location at 1126 W PIONEER PKWY until profile deactivation on 2024-05-08.

Practice Location & Contact Primary Location

Practice Address

1126 W Pioneer Pkwy
Suite 1126

Arlington, TX 760136367

Telephone 8177951291
Associated Practice Facility / Clinic
🏢 Bright Stars Pediatrics, Pa Facility NPI 1093916157

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
176 Specialists

Practicing in Arlington, TX (17210 Statewide)

Telehealth Adoption Rate
0.6% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 102066

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

40 Associated Practitioners
Sierra Orr , COTA

Occupational Therapy Assistant

NPI 1003579475

Certified Occupational Therapy Assistant

Bilqis Balolia

Speech-Language Pathologist

NPI 1003583287
Donna Smith , CCC-SLP

Speech-Language Pathologist

NPI 1013068196

Speech-Language Pathologist (Certificate of Clinical Competence)

Victoria Helfrich

Speech-Language Pathologist

NPI 1023677390
Vanessa Gonzalez

Speech-Language Pathologist

NPI 1124645890
Marilu Flores

Occupational Therapist

NPI 1164816930

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 08, 2024

Record deactivated on May 08, 2024

NPI Profile Active September 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2015

Registered at 1126 W PIONEER PKWY, SUITE 1126, ARLINGTON, TX 760136367 (Tel: 8177951291)

📍
Updated Business Mailing Address September 22, 2015

Registered at 305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 760537209 (Tel: 8172928787)

👤
Provider Name / Credentials Updated September 22, 2015

Recorded as MARY WILSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2015

Speech-Language Pathologist (License #102066 in TX)

🟢
Initial NPI Registration & Enumeration September 22, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Wilson. Be the first to share your experience!

Sign in to leave a review for Mary Wilson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1205205093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2015
Last Update: September 22, 2015
Deactivation Date: May 08, 2024

Mailing Address

305 Ne Loop 820, Business Tower 1, Suite 200

Hurst, TX 760537209

Phone: 8172928787

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.