Roger Kenneth Wilde in Sebring - Clinical
Roger Kenneth Wilde - NPI 1356427181
Roger Kenneth Wilde is a Clinical in Sebring, Florida. Roger Kenneth Wilde practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roger Kenneth Wilde is 1356427181. The last update date is 2014-01-27.
Roger Kenneth Wilde's current location address is 5704 Thunder Rd, Sebring, Florida. You can contact this provider via phone number 8634143970 and fax number 9543662056. The mailing address for Roger Kenneth Wilde is 5704 Thunder Rd, Sebring, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Kenneth Wilde |
|---|---|
| Address | 5704 Thunder Rd, Sebring, Florida |
| Phone Number | 8634143970 |
| Fax Number | 9543662056 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1356427181 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2014-01-27 |
Provider Mailing Address Detail
| Address | 5704 Thunder Rd |
|---|---|
| City | Sebring |
| State | Florida (FL) |
| Post Code | 338765400 |
| Phone Number | 8634143970 |
| Fax Number | 9543662056 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2692 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Roger Kenneth Wilde?
The Roger Kenneth Wilde has been issued the NPI (National Provider Identifier) 1356427181 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Roger Kenneth Wilde is geographically located?
The Roger Kenneth Wilde is physically situated at the following location: 5704 Thunder Rd, Sebring, FL, 338765400.
What is Roger Kenneth Wilde's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roger Kenneth Wilde is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356427181 to Roger Kenneth Wilde?
The Roger Kenneth Wilde received its 1356427181 assignment from the Centers for Medicare & Medicaid Services on 2006-10-27.
When was the information regarding Roger Kenneth Wilde most recently updated?
The details pertaining to the Roger Kenneth Wilde, including its address, specialty, and other relevant information, were last refreshed on 2014-01-27.