Individual
SYDNIE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 MULBERRY HIGHWAY 64 W, MULBERRY, AR 72947-8948
(479) 430-8754
Mailing address
2609 MULBERRY HIGHWAY 64 W, MULBERRY, AR 72947-8948
(479) 430-8754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16-0166
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-0166
MEDICAID REGISTRATION NUMBER
AR
Enumeration date
09/06/2016
Last updated
09/06/2016
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