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MARY GRACE WILSON
NPI 1174347413
Speech-Language Pathologist in Santa Monica, CA

Active since November 13, 2024
1932 14TH ST, SANTA MONICA, CA 90404(310) 344-2276 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Grace Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GRACE WILSON (NPI 1174347413) is an individual speech-language pathologist provider in Santa Monica, California, licensed in California (30787) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1174347413
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY GRACE WILSON
Location Address1932 14TH STSanta Monica, CA 90404-4605
Mailing Address6127 W 74th StLos Angeles, CA 90045-1605
Phone(310) 344-2276
Sole ProprietorNo
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1174347413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 30787
Definition
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.
1932 14TH ST, Santa Monica, CA 90404
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Other Names 1

Former Name (1)Mary Bassily

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACK ELIAS PINTO OTD, OTR/L
Occupational Therapist
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
BRYAN MORALES
Occupational Therapist (Pediatrics)
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (805) 914-4056
ABIGAIL RACHEL LEVEN OTR/L
Occupational Therapist (Pediatrics)
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
ROSEANNE SOFIA EVANGELISTA BLANCO OTR/L
Occupational Therapist
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
EMILY MINKOW
Speech-Language Pathologist
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
DR. ALYSSIA EVANS
Occupational Therapist (Pediatrics)
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
BENITA NA
Occupational Therapist (Pediatrics)
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276
ERIN ELAINE MCDONALD
Occupational Therapist
1932 14TH ST
SANTA MONICA, CA 90404
Los Angeles County (310) 344-2276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1174347413. It was assigned to this individual provider in the NPPES registry on November 13, 2024. The provider is also known as Mary Bassily.

Where is Mary Wilson located?

Mary Wilson practices at 1932 14th St, Santa Monica, CA 90404. The listed phone number is (310) 344-2276.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.