Individual
PENNY WILKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 BILLINGS ST, LOT E12, AURORA, CO 80011-5700
(720) 327-4913
Mailing address
1540 BILLINGS ST, LOT E12, AURORA, CO 80011-5700
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G848605
—
CO
Enumeration date
10/15/2014
Last updated
07/21/2022
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