Wilkerson, Latricia

Wilkerson, Latricia is an sole proprietor health care provider with primary practice located at 3716 Highway 39 N , Meridian MS 39301-1013. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wilkerson, Latricia can be contacted via phone (601) 482-7164.

Contact Information

Primary practice address
3716 Highway 39 N Meridian MS 39301-1013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3515 Mississippi

Profile Details

NPI number 1245546563
LBN Legal business name Wilkerson, Latricia
Credentials M.S, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2010
Last updated May 12th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245546563 NPPES
Mississippi MEDICAID 0023816

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