MRS. JACQUELINE LOIS REAGOR WILSON


Address: 9285 Medical Plaza Dr, Charleston, SC 29406-9126
Phone: 8437978282

MRS. JACQUELINE LOIS REAGOR WILSON (NPI# 1457909830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457909830
Entity Type Individual
Full Name MRS. JACQUELINE LOIS REAGOR WILSON
Other Name MISS JACQUELINE LOIS REAGOR
Credential CF-SLP
Practice Address 9285 Medical Plaza Dr
Charleston
SC 29406-9126
Mailing Address 111 Cainhoy Landing Rd
Charleston
SC 29492-7803
Practice Telephone 8437978282
Mailing Telephone 8437545795
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7020 SC Speech, Language and Hearing Service Providers

Other Providers JACQUELINE WILSON

NPI Name Taxonomy Address Enumeration
1225687791 Jacqueline Latia Wilson Nurse Practitioner 225 N Clifton Ave, Louisville, KY 40206-2496 2019-09-08
1790186393 Jacqueline Wilson Nurse Practitioner 1101 Highway 76 Ste A, Clarksville, TN 37043-2420 2014-09-15
1295022622 Jacqueline A. Wilson Contractor 12257 Middlebrook Sq, San Diego, CA 92128-3759 2011-07-06
1225244692 Jacqueline Golden Wilson Occupational Therapist 15115 Eastview Dr, Upperco, MD 21155-9746 2007-05-15
1942373212 Jacqueline Wilson Counselor 6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 2006-11-16
1154951556 Jacqueline Anne Wilson Nurse Practitioner 640 S 19th St Ste 100, Nevada, IA 50201-2902 2020-01-24
1245735943 Jacqueline Wilson Nurse Practitioner 284 Highway 641 N, Camden, TN 38320-1350 2018-03-26
1457852014 Jacqueline Wilson Social Worker 2219 Claiborne Ave, Shreveport, LA 71103-4301 2018-02-27
1801348636 Jacqueline Sue Wilson Physical Therapist 901 N Porter Ave, Norman, OK 73071-6404 2016-10-27
1487102687 Jacqueline Maureen Wilson Counselor 221 Avenue B, Snohomish, WA 98290-2840 2016-09-15

Office Location

Street Address 9285 MEDICAL PLAZA DR
City CHARLESTON
State SC
Zip Code 29406-9126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598890519 White Oak Manor Inc Skilled Nursing Facility 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2007-02-22
1952888521 Morgan Norton Occupational Therapist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2018-07-25
1164931499 Breona Gonzalez Alexander Speech-Language Pathologist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2017-09-29
1821511882 Allison Lloyd Speech-Language Pathologist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2017-07-21
1831624980 Danielle Howard Speech-Language Pathologist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2017-04-26
1184072597 Robert Pennington Physical Therapist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2016-05-25
1508254459 Bethanne Vandermolen Speech-Language Pathologist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2014-12-30
1205233665 Elaina Gaither Occupational Therapist 9285 Medical Plaza Dr, Charleston, SC 29406-9126 2014-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622289 Sara Desmarais Physical Therapist 2760 Tricom St, North Charleston, SC 29406 2020-09-04
1669036448 Pink Elephant Autism Project In Home Supportive Care 8738 Red Oak Drive, Charleston, SC 29406 2019-04-26
1083171185 Medical University Hospital Authority Pharmacy 2250 Mall Drive, North Charleston, SC 29406 2019-02-25
1336627371 Truesdale Medical Center LLC Internal Medicine 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 2018-08-01
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1982148490 Trident Medical Center Psychiatric Hospital 9225 C Medical Plaza Drive, Charleston, SC 29406 2016-12-19
1649726217 First Choice Counseling Services, LLC Community/Behavioral Health 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 2016-09-01
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1174984645 Ashia George Developmental Therapist 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 2016-03-11
1023488582 Etta Smith Counselor 2470 Mall Dr Unit Cd, North Charleston, SC 29406 2015-09-28
Find all providers in zip 29406

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689288581 Easy Talk Pediatrics, LLC Speech-Language Pathologist 1643b Savannah Hwy # 202, Charleston, SC 29407-6256 2020-09-08
1801411384 Scott Pedziwiatr Speech-Language Pathologist 2120 7th St, Charleston, IL 61920-4014 2020-06-10
1124643879 Jenna Kay Mortensen Speech-Language Pathologist 2086 7th Street, Charleston, IL 61920 2020-06-09
1831713395 Alyssa Riccardi Falbo-hill Speech-Language Pathologist 888 Oakwood Rd Ste 300, Charleston, WV 25314-2071 2020-06-01
1780219055 Terra Rae Mchugh Speech-Language Pathologist 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 2020-03-07
1144877333 Megan Potter Speech-Language Pathologist Wellmore Daniel Island, 580 Robert Daniel Drive, Charleston, SC 29492 2019-08-22
1629621487 Tessa Simpson Gonyea Speech-Language Pathologist 2837 Rutherford Way, Charleston, SC 29414-6688 2019-07-22
1063072833 Hannah Potts Speech-Language Pathologist 1534 Waterstone Ln, Charleston, SC 29414-5775 2019-06-14
1952874224 Megan Jones Speech-Language Pathologist 1735 Boone Hall Dr Apt K2, Charleston, SC 29407-3025 2019-01-09
1437627668 Bridget E Kelly Speech-Language Pathologist 1639 Sheffield Street, Charleston, SC 29407-2940 2018-11-06
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29406

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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