Healthcare Provider Details

I. General information

NPI: 1811814957
Provider Name (Legal Business Name): AMY WILKINSON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 SAN GABRIEL RD
ATASCADERO CA
93422-4940
US

IV. Provider business mailing address

PO BOX 2298
PASO ROBLES CA
93447-2298
US

V. Phone/Fax

Practice location:
  • Phone: 805-462-4230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: