DR. GRAHAM LEONARD WILDE


Address: 5315b Sunset Blvd, Lexington, SC 29072-9159
Phone: 8038089611

DR. GRAHAM LEONARD WILDE (NPI# 1396812376) 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) 1396812376
Entity Type Individual
Full Name DR. GRAHAM LEONARD WILDE
Credential PH.D.
Practice Address 5315b Sunset Blvd
Lexington
SC 29072-9159
Practice Telephone 8038089611
Practice Fax Number 8038086848
Mailing Telephone 8038089611
Mailing Fax Number 8038086848
Enumeration Date 2006-11-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 231H00000X Audiologist AUD000296 GA Speech, Language and Hearing Service Providers
Y 231H00000X Audiologist 249 SC Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC SA0007 05
SC STATE AUDIOLOGY LICENSE 249 01
GA STATE AUDIOLOGY LICENSE AUD000296 01

Office Location

Street Address 5315B SUNSET BLVD
City LEXINGTON
State SC
Zip Code 29072-9159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447451679 Todd Matthew Gibson Audiologist 5315b Sunset Blvd, Lexington, SC 29072-9159 2007-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700484821 Grace Physicians Services Clinic/Center 1483 Old Cherokee Road, Lexington, SC 29072 2020-10-12
1750995007 Trinity Health and Wellness Clinic/Center 1483 Old Cherokee Rd, Lexington, SC 29072 2020-09-03
1730727629 Erika Watts Occupational Therapist 100 Tarrar Springs Road, Sped, Lexington, SC 29072 2019-12-11
1194380600 Lexington County Health Services District, Inc. Clinic/Center 154 Saluda Pointe Ct, Lexington, SC 29072 2019-05-09
1962973768 William R. Key Counselor Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 2018-12-06
1639651961 Lindsey Terry Social Worker 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 2018-09-04
1922594126 Dental Professional of South Carolina, P.C. Dentist 2448 Augusta Hwy, Lexington, SC 29072 2018-07-11
1598251605 Lynn Marceline Beckett-lowe Nurse Practitioner 124 Pink Camellia Lane, Lexington, SC 29072 2018-07-02
1083120620 Diana Reiss Counselor 714 S Lake Drive, 120, Lexington, SC 29072 2017-12-19
1649781857 Constance Jean Lynch Occupational Therapist 800 North Lake Boulevard, Lexington, SC 29072 2017-10-14
Find all providers in zip 29072

Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497356521 Kimberly Meier Audiologist 1000 Falcon Wood Way, Lexington, KY 40511-9089 2020-11-04
1285181784 Peytra Claire Osetinsky Audiologist 740 S Limestone Street B317, Lexington, KY 40536-0284 2016-09-01
1437382397 Margaret Marie Adkins Audiologist 740 S Limestone St Ste B317, Lexington, KY 40536-0284 2009-08-26
1528268992 Jinger Renee Pruden Audiologist 350 Henry Clay Blvd, Lexington, KY 40502-1024 2007-07-23
1598984858 Kathryn Ann Sandusky Audiologist 525 Southland Dr, Lexington, KY 40503-1828 2007-04-25
1700922978 Lou Ann Jones Audiologist 333 Waller Ave Ste 300, Lexington, KY 40504-2927 2007-01-29
1750470464 Carol Y Schroeder Audiologist 1205 Sebring Ln, Lexington, KY 40513-1818 2006-10-12
1881787398 Wanda Joy Martin Audiologist 1221 South Broadway, Lexington, KY 40504 2006-10-02
1447278932 Karen E Kallio Audiologist 3080 Harrodsburg Rd, Suite 200, Lexington, KY 40503-2774 2006-07-17
1376597450 Jennifer B Shinn Audiologist 740 S Limestone C300, Lexington, KY 40536-0284 2006-05-21
Find all providers in LEXINGTON

Competitor

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City LEXINGTON
Zip Code 29072

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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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