Individual
REBECA SUSAN WICKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,SLP
Contact information
Practice address
400 MOUNTAIN VIEW DR, HARRISONBURG, VA 22801-4333
(540) 434-3429
(540) 434-4453
Mailing address
400 MOUNTAIN VIEW DR, HARRISONBURG, VA 22801-4333
(540) 434-3429
(540) 434-4453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007196
VA
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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