Individual
AMY LOUISE WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
200 TAYLORSVILLE MOUNTAIN RD, PITMAN, PA 17964-9104
(570) 644-0489
Mailing address
1221 W MONTGOMERY ST, COAL TOWNSHIP, PA 17866-3413
(570) 644-0216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL008923
PA
Other
Enumeration date
03/14/2009
Last updated
03/14/2009
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