MEDICARE: WENDY HINKLE MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP21694	CA

General Provider Information

NPI Number	:	1548124464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY HINKLE MS

Provider Business Mailing Address
First Line	:	3240 ERSKINE CREEK RD
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3240 ERSKINE CREEK RD
Second Line	:
City	:	LAKE ISABELLA
State	:	CA
Zip	:	93240-9608
Country	:	US
Telephone Number	:	760-379-4863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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