Doctor Name: | MICHELLE L WILKINSON |
NPI Number: | 1992823256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC, SLP |
License Number: | 06073 |
Business Practice Address: | 10232 Meadowridge Dr Myersville, MD - 217738652 |
Business Phone Number: | 2407840361 |
Business Fax Number: | |
Mailing Address: | 10232 Meadowridge Dr, MYERSVILLE |
State: | MD |
Postal Code: | 217738652 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |