Thad Wilderson & Associates Pa in Saint Paul - Clinical Child & Adolescent
Thad Wilderson & Associates Pa - NPI 1649362237
Thad Wilderson & Associates Pa is a Clinical Child & Adolescent in Saint Paul, Minnesota. Thad Wilderson & Associates Pa practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Thad Wilderson & Associates Pa is 1649362237. The last update date is 2020-08-22.
Thad Wilderson & Associates Pa's current location address is 475 University Ave W, Saint Paul, Minnesota. You can contact this provider via phone number 6512258997 and fax number 6512251697. The mailing address for Thad Wilderson & Associates Pa is 475 University Ave W, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thad Wilderson & Associates Pa |
|---|---|
| Address | 475 University Ave W, Saint Paul, Minnesota |
| Phone Number | 6512258997 |
| Fax Number | 6512251697 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Wilderson Wilfred Thad |
| Credentials | LP |
| Telephone Number | 6512258997 |
NPI Number Detail
| NPI Number | 1649362237 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 475 University Ave W |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551031959 |
| Phone Number | 6512258997 |
| Fax Number | 6512251697 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | LP0061 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Thad Wilderson & Associates Pa by the Centers for Medicare & Medicaid Services?
The Thad Wilderson & Associates Pa has been assigned the NPI (National Provider Identifier) 1649362237. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thad Wilderson & Associates Pa?
The Thad Wilderson & Associates Pa is physically situated at 475 University Ave W, in the city of Saint Paul, state of MN, with the postal code 551031959.
What is the Thad Wilderson & Associates Pa's area of specialization and corresponding taxonomy classification?
The Thad Wilderson & Associates Pa's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.
When did the Thad Wilderson & Associates Pa receive its 1649362237?
The Thad Wilderson & Associates Pa was issued its 1649362237 on 2006-09-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Thad Wilderson & Associates Pa most recently updated or revised?
The information pertaining to Thad Wilderson & Associates Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.