National Provider Identifier
Olivia Marie Wicks
Olivia Marie Wicks is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Elmira, NY and a listed phone number of (607) 739-3581.
Profile Overview
- NPI
- 1932602588
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- March 09, 2018
- Last Updated
- November 20, 2024
Practice Location
- 459 Philo Road
- Elmira, NY 14903-1051
Phone: (607) 739-3581
Mailing Address
- 503 Steuben Street
- Horseheads, NY 14845-2335
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1932602588
- Entity Type
- Individual
- Last Name
- Wicks
- First Name
- Olivia
- Middle Name
- Marie
- Name Prefix
- MS.
- Mailing Street Address
- 503 Steuben Street
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-2335
- Mailing Country
- US
- Mailing Phone
- (607) 742-3567
- Practice Street Address
- 459 Philo Road
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14903-1051
- Practice Country
- US
- Practice Phone
- (607) 739-3581
- Practice Fax
- (607) 795-3704
- Enumeration Date
- March 09, 2018
- Last Updated
- November 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)