Individual
MS. DEBORAH M. WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
2559 EMOGENE ST, MOBILE, AL 36606-1854
(251) 450-3300
(251) 450-3307
Mailing address
420 W PINHOOK RD, SUITE A, LAFAYETTE, LA 70503-2131
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
725
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-28941
BLUE CROSS PROVIDER NUMBE
—
Enumeration date
05/14/2007
Last updated
07/08/2007
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