Amanda A Wilke M.S., SLP

NPI 1730374760 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1730374760
Gender Female
Enumeration Date 09/12/2007
Last Updated 09/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
420 GENERAL SOMERVELL ST NE
ALBUQUERQUE NM, 87123-1150, US
Phone (505) 299-4424
Fax
Business Location
4777 TRAMWAY BLVD NE
#610
ALBUQUERQUE NM, 87111-2986, US
Phone (270) 293-5883
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New Mexico
License Number C-4161
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According to our database, Mrs. Amanda A Wilke M.S., SLP NPI is 1730374760, taxonomy code is 235Z00000X and license number is C-4161, license state is located at New Mexico. Amanda A Wilke M.S., SLP physically located at 420 General Somervell St Ne, Albuquerque NM, 87123-1150. NPI Number Amanda A Wilke M.S., SLP has the Individual type.

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1730374760 NPI number is provided on an as is basis without warranty of any kind. 1730374760 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda A Wilke M.S., SLP are for informational purposes only.