Edwina Wilder is a Professional in Springfield, Missouri. Edwina Wilder practices all healthcare services and medical treatments related to Professional. The NPI Number for Edwina Wilder is 1417018904. The last update date is 2007-07-09.
Edwina Wilder's current location address is 1722 S Glenstone Ave Ste Tt, Springfield, Missouri. You can contact this provider via phone number 4178812848 and fax number 4178812640. The mailing address for Edwina Wilder is 1722 S Glenstone Ave Ste Tt, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwina Wilder |
|---|---|
| Address | 1722 S Glenstone Ave Ste Tt, Springfield, Missouri |
| Phone Number | 4178812848 |
| Fax Number | 4178812640 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1417018904 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1722 S Glenstone Ave Ste Tt |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658041517 |
| Phone Number | 4178812848 |
| Fax Number | 4178812640 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 1832 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edwina Wilder by the Centers for Medicare & Medicaid Services?
The Edwina Wilder has been issued the NPI (National Provider Identifier) 1417018904, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edwina Wilder?
The Edwina Wilder is physically situated at 1722 S Glenstone Ave Ste Tt, in the city of Springfield, state of MO, with the postal code 658041517.
What is the Edwina Wilder's specialty and taxonomy code?
The Edwina Wilder's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417018904 to Edwina Wilder?
The Centers for Medicare & Medicaid Services assigned the 1417018904 to Edwina Wilder on 2006-12-12.
When was the information regarding Edwina Wilder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edwina Wilder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.
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