Wilks, Tara Deann
Wilks, Tara Deann is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6141. 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. Wilks, Tara Deann can be contacted via phone (580) 477-7226.Contact Information
Primary practice address
1200 E Pecan St
Altus OK 73521-6141
Phone: (580) 477-7226
Fax: (580) 477-7206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3119 | Oklahoma |
Profile Details
| NPI number | 1205096211 |
|---|---|
| LBN Legal business name | Wilks, Tara Deann |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Nov 21st, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205096211 | NPPES |
| Oklahoma | MEDICAID | 201092470A |
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