Provider Demographics
NPI:1164999686
Name:WILKINS, LINDA R (THERAPIST)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:R
Last Name:WILKINS
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:R
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:THERAPIST
Mailing Address - Street 1:1119 BELL AVE
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3912
Mailing Address - Country:US
Mailing Address - Phone:267-353-3325
Mailing Address - Fax:
Practice Address - Street 1:1119 BELL AVE
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3912
Practice Address - Country:US
Practice Address - Phone:267-353-3325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health