Female

Ms. Dana Wilson M.A.

Audiologist in Bloomington, IN(View on Map)

Full Name

Ms. Dana Wilson M.A.

NPI Number

1083603997

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/14/2005

Specialties

(Taxonomies)

Code

231H00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

23002148A

Contact
Information

Purpose

Mailing
Location

Address

200 S JORDAN AVE
200 S JORDAN AVE

City

Bloomington
Bloomington

State

IN
IN

Postal Code

47405-7002
47405-7002

Country

US
US

Telephone Number

(812) 855-7439
(812) 855-7439

Identifiers

Identifier

11512048

Identifier State

IN

Identifier Issuer

CAQH PROVIDER ID

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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Specialties: Audiologist (Primary)Assistive Technology Supplier AudiologistAudiologist-Hearing Aid Fitter