MEDICARE: MRS. SHEREE WILKINSON SLP

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		CO

General Provider Information

NPI Number	:	1932146321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEREE WILKINSON SLP

Provider Business Mailing Address
First Line	:	312 MOUNT RAINIER ST
Second Line	:
City	:	BERTHOUD
State	:	CO
Zip	:	80513-8299
Country	:	US
Telephone Number	:	970-599-1845
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 MOUNT RAINIER ST
Second Line	:
City	:	BERTHOUD
State	:	CO
Zip	:	80513-8299
Country	:	US
Telephone Number	:	970-599-1845
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/01/2021

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Directions to “ MRS. SHEREE WILKINSON SLP” Practice Location

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