| Wilder Therapy And Wellness, Llc | |
|
63 Sockanosset Cross Rd 2a-7 Cranston RI 02920-5557 | |
| (401) 406-1101 | |
| (401) 712-8659 |
| Full Name | Wilder Therapy And Wellness, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 63 Sockanosset Cross Rd, Cranston, Rhode Island |
| Authorized Official Name and Position | Heather N Wilder (OWNER/ CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4014061101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Therapy And Wellness, Llc 63 Sockanosset Cross Rd 2a-7 Cranston RI 02920-5557 Ph: (401) 406-1101 | Wilder Therapy And Wellness, Llc 63 Sockanosset Cross Rd 2a-7 Cranston RI 02920-5557 Ph: (401) 406-1101 |
| NPI Number | 1346664505 |
|---|---|
| Provider Enumeration Date | 02/08/2014 |
| Last Update Date | 02/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346664505 | NPI | - | NPPES |
| 1891125167 | Other | INDIVIDUAL NPI- JAMI WILDER | |
| 1083943310 | Other | INDIVIDUAL NPI- HEATHER WILDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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