Doctor Name: | KATHLEEN LINDA WIKMAN |
NPI Number: | 1902008873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 1055 S Highway 395 Ste 323 Hermiston, OR - 978386919 |
Business Phone Number: | 5415644473 |
Business Fax Number: | 5415648477 |
Mailing Address: | Po Box 1290, ONTARIO |
State: | OR |
Postal Code: | 979140136 |
Phone Number: | 5418899167 |
Fax Number: | 5418897873 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |