Wilds, Traci

Wilds, Traci is an individual health care provider with primary practice located at 1517 Durham Rd , Penndel PA 19047-5707. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilds, Traci can be contacted via phone (215) 752-2848.

Contact Information

Primary practice address
1517 Durham Rd Penndel PA 19047-5707
Phone: (215) 752-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063742260
LBN Legal business name Wilds, Traci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated Jan 11th, 2010 - about 14 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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