Provider Demographics
NPI:1841911864
Name:WILSON, ARIEL MARIE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:MARIE
Last Name:WILSON
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 RIESLING DR
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2464
Mailing Address - Country:US
Mailing Address - Phone:903-805-0828
Mailing Address - Fax:
Practice Address - Street 1:1333 CORPORATE DR STE 245
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-7514
Practice Address - Country:US
Practice Address - Phone:214-591-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist