Provider Demographics
NPI:1154535300
Name:WILKER, JENNIFER HOWARD (MS , AUD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HOWARD
Last Name:WILKER
Suffix:
Gender:F
Credentials:MS , AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 PATRONELLA AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5243
Mailing Address - Country:US
Mailing Address - Phone:805-217-2100
Mailing Address - Fax:
Practice Address - Street 1:2100 W 3RD ST
Practice Address - Street 2:SUITE 111
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-1922
Practice Address - Country:US
Practice Address - Phone:213-483-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPE4592231H00000X
CA2572231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist