Audra Marie Wilks in Groton - Speech-language Pathologist
Audra Marie Wilks - NPI 1275651481
Audra Marie Wilks is a Speech-language Pathologist in Groton, Connecticut. Audra Marie Wilks practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Audra Marie Wilks is 1275651481. The last update date is 2007-07-08.
Audra Marie Wilks's current location address is 1145 Poquonnock Rd, Groton, Connecticut. You can contact this provider via phone number 8604469960. The mailing address for Audra Marie Wilks is 1145 Poquonnock Rd, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra Marie Wilks |
|---|---|
| Address | 1145 Poquonnock Rd, Groton, Connecticut |
| Phone Number | 8604469960 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1275651481 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1145 Poquonnock Rd |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63404620 |
| Phone Number | 8604469960 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2579 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique provider identifier assigned to Audra Marie Wilks?
The Audra Marie Wilks has been issued the NPI (National Provider Identifier) 1275651481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Audra Marie Wilks is physically located?
The Audra Marie Wilks is physically situated at the following address: 1145 Poquonnock Rd, Groton, CT, 63404620.
What is Audra Marie Wilks's area of expertise and its corresponding taxonomy classification?
The Audra Marie Wilks's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1275651481 to Audra Marie Wilks?
The Centers for Medicare & Medicaid Services assigned the 1275651481 to Audra Marie Wilks on 2007-03-26.
When was the Audra Marie Wilks's information last updated?
The Audra Marie Wilks's information was last updated on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA