| Emily R. Wildman, Psy.d., Llc | |
|
2824 Alhambra Dr Belmont CA 94002-1352 | |
| (650) 453-3125 | |
| Not Available |
| Full Name | Emily R. Wildman, Psy.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2824 Alhambra Dr, Belmont, California |
| Authorized Official Name and Position | Emily R. Wildman (PSYCHOLOGIST) |
| Authorized Official Contact | 9736155755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily R. Wildman, Psy.d., Llc 2824 Alhambra Dr Belmont CA 94002-1352 Ph: (650) 453-3125 | Emily R. Wildman, Psy.d., Llc 2824 Alhambra Dr Belmont CA 94002-1352 Ph: (650) 453-3125 |
| NPI Number | 1851537773 |
|---|---|
| Provider Enumeration Date | 12/23/2008 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851537773 | NPI | - | NPPES |
| 1467470377 | Other | NPI - INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S100396400 (New Jersey) | Primary |
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