Individual
AMY WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
750 LOMBARDY ST, SOUTH HILL, VA 23970-2112
(434) 447-0895
Mailing address
PO BOX 90, SOUTH HILL, VA 23970-0090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008210
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14103245
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
2202008210
VIRGINIA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
VA
Enumeration date
08/22/2019
Last updated
11/27/2023
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