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MS. BRENDA M WILSON CCC
NPI 1215054507
Speech-Language Pathologist in Mattoon, IL

Active since March 23, 2007
200 LERNA RD S, MATTOON, IL 61938(217) 258-3640(217) 258-3460 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Brenda M Wilson Ccc NPPES

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

MS. BRENDA M WILSON CCC (NPI 1215054507) is an individual speech-language pathologist provider in Mattoon, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1215054507
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. BRENDA M WILSONCredential: CCC
Location Address200 LERNA RD SMattoon, IL 61938-9388
Mailing Address611 W Park StUrbana, IL 61801-2500 · (217) 326-2911 · Fax (217) 344-8047
Phone(217) 258-3640
Fax(217) 258-3460
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215054507 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
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.
200 LERNA RD S, Mattoon, IL 61938
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Other Identifiers 5

Other7216Personalcare Prov Id
Other113326Healthlink Prov Id
Other4117IL · Hamp Prov Id
Medicare ID-Type Unspecified140091
Other203IL · Blue Cross Prov Id

Other Providers at the Same Location NPPES 15

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

DR. URETZ JOHN OLIPHANT MD
Surgery
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-5900
CARLE FOUNDATION HOSPITAL
Pharmacy
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-3616
CARLE HEALTH CARE INCORPORATED
Durable Medical Equipment & Medical Supplies
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-5900
CARLE HEALTH CARE INCORPORATED
Durable Medical Equipment & Medical Supplies
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-5950
MELANIE Y SPARKS PT, DPT
Physical Therapist
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 238-5666
MS. TONI C CHAMBERS M.S., CCC SLP
Speech-Language Pathologist
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 326-2911
JACKIE L COMERFORD RD
Dietitian, Registered
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-5900
MS. JAMIE L FORSYTHE NP
Nurse Practitioner (Pediatrics)
200 LERNA RD S
MATTOON, IL 61938
Coles County (217) 258-5900

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 Brenda Wilson's NPI number?

The NPI number for Brenda Wilson is 1215054507. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Brenda Wilson located?

Brenda Wilson practices at 200 Lerna Rd S, Mattoon, IL 61938. The listed phone number is (217) 258-3640.

What is Brenda 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 Brenda Wilson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.