Provider Demographics
NPI:1780745935
Name:WILKINSON, HEI SOOK (PHD)
Entity type:Individual
Prefix:DR
First Name:HEI
Middle Name:SOOK
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 PARKMAN DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-2448
Mailing Address - Country:US
Mailing Address - Phone:248-645-6741
Mailing Address - Fax:248-645-6741
Practice Address - Street 1:708 PARKMAN DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-2448
Practice Address - Country:US
Practice Address - Phone:248-645-6741
Practice Address - Fax:248-645-6741
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF34756OtherBLUECROSS BLUESHIELD OF M
MIOF34756Medicare ID - Type Unspecified