Wilder, Eleanor Kay

Wilder, Eleanor Kay is an sole proprietor health care provider with primary practice located at 555 Soquel Ave Suite 240, Santa Cruz CA 95062-2336. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as her primary health care specialty. Wilder, Eleanor Kay can be contacted via phone (831) 425-1531.

Contact Information

Primary practice address
555 Soquel Ave Suite 240 Santa Cruz CA 95062-2336
Phone: (831) 425-1531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X MFC47911 California

Profile Details

NPI number 1063603652
LBN Legal business name Wilder, Eleanor Kay
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Jun 7th, 2011 - about 13 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 1063603652 NPPES
Other N2643674 CA DRIVERS LICENSE

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