Individual
DR. ANITA GAIL WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
121 UNIVERSE DR, MARTINSBURG, WV 25404-3567
(304) 260-0034
(303) 260-9224
Mailing address
121 UNIVERSE DR, MARTINSBURG, WV 25404-3567
(304) 260-0034
(303) 260-9224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
787
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9205064000
—
WV
Enumeration date
12/15/2006
Last updated
11/16/2007
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