| Wilder Psychology, Pllc | |
|
1255 W 15th St Ste 320 Plano TX 75075-7275 | |
| (972) 519-1692 | |
| Not Available |
| Full Name | Wilder Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1255 W 15th St Ste 320, Plano, Texas |
| Authorized Official Name and Position | Charleen Wilder (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9725191692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Psychology, Pllc 1255 W 15th St Ste 320 Plano TX 75075-7275 Ph: (972) 519-1692 | Wilder Psychology, Pllc 1255 W 15th St Ste 320 Plano TX 75075-7275 Ph: (972) 519-1692 |
| NPI Number | 1184413999 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184413999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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