Provider Demographics
NPI:1700450194
Name:WILKES, ESTHER BARAHONA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:BARAHONA
Last Name:WILKES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:LISSIEN
Other - Middle Name:ESTHER
Other - Last Name:BARAHONA SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1481
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3481
Mailing Address - Country:US
Mailing Address - Phone:919-925-4922
Mailing Address - Fax:
Practice Address - Street 1:2320 REDBRIDGE LN
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-2495
Practice Address - Country:US
Practice Address - Phone:919-925-4922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15373235Z00000X
AL5235235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist