MS. Jill A Wickham, SLP-CCC
NPI #1528310109 in St Augustine, Florida
Provider Information
- NPI Number
- 1528310109
- Entity Type
- Individual
- Name
- MS. Jill A Wickham, SLP-CCC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP-CCC
- Enumeration Date
- Oct 8, 2012
- Last Updated
- Oct 8, 2012
Practice Location
- Address
- 1999 OLD MOULTRIE RD
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5164
- Phone
- (904) 824-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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