| Wilder Therapy Lcsw Pc | |
|
38 Archer Rd West Hempstead NY 11552-1730 | |
| (917) 849-9904 | |
| Not Available |
| Full Name | Wilder Therapy Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 38 Archer Rd, West Hempstead, New York |
| Authorized Official Name and Position | Keyna Wilder (CEO) |
| Authorized Official Contact | 9178499904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Therapy Lcsw Pc 38 Archer Rd West Hempstead NY 11552-1730 Ph: (917) 849-9904 | Wilder Therapy Lcsw Pc 38 Archer Rd West Hempstead NY 11552-1730 Ph: (917) 849-9904 |
| NPI Number | 1871280560 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871280560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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