Wild, Wendy Elizabeth

Wild, Wendy Elizabeth is an individual health care provider with primary practice located at 781 Far Hills Dr Suite 600, New Freedom PA 17349-8404. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wild, Wendy Elizabeth can be contacted via phone (717) 812-2560.

Contact Information

Primary practice address
781 Far Hills Dr Suite 600 New Freedom PA 17349-8404
Phone: (717) 812-2560
Fax: (717) 812-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS017278 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS017278 Pennsylvania

Profile Details

NPI number 1215289509
LBN Legal business name Wild, Wendy Elizabeth
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2012
Last updated Feb 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215289509 NPPES
Pennsylvania Other 4219858 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other 2752730 CIGNA BEHAVIORAL HEALTH
Pennsylvania Other 50112522 CIGNA BEHAVIORAL HEALTH

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