Individual
MS. ALICE WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
590 AVENUE OF THE AMERICAS, ROOM 225, NEW YORK, NY 10011-2019
(646) 459-3936
(646) 459-3404
Mailing address
590 AVENUE OF THE AMERICAS, ROOM 225, NEW YORK, NY 10011-2019
(646) 459-3936
(646) 459-3404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005403-1
NEW YORK STATE OFFICE OF THE PROFESSIONS STATE EDUCATION DEPARTMENT
NY
Enumeration date
11/13/2008
Last updated
11/13/2008
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