Robert Edward Wilder in Jacksonville - Marriage & Family Therapist

Robert Edward Wilder - NPI 1710999537

Robert Edward Wilder is a Marriage & Family Therapist in Jacksonville, Florida. Robert Edward Wilder practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Robert Edward Wilder is 1710999537. The last update date is 2008-01-11.

Robert Edward Wilder's current location address is 1809 Lochamy Ln, Jacksonville, Florida. You can contact this provider via phone number 9048661556 and fax number 9042877576. The mailing address for Robert Edward Wilder is 1809 Lochamy Ln, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Edward Wilder
Address 1809 Lochamy Ln, Jacksonville, Florida
Phone Number 9048661556
Fax Number 9042877576
Sole Proprietor Y
Credentials M.DIV., M.

NPI Number Detail

NPI Number 1710999537
Provider Enumeration Date 2006-08-12
Last Updated Date 2008-01-11

Provider Mailing Address Detail

Address 1809 Lochamy Ln
City Jacksonville
State Florida (FL)
Post Code 322595479
Phone Number 9048661556
Fax Number 9042877576

Provider's Primary Taxonomy Detail

Speciality Marriage & Family Therapist
Taxonomy 106H00000X
Licence No MT 0001634
Definition:
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives

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FAQs about Robert Edward Wilder

What is the Robert Edward Wilder's 1710999537?

The Robert Edward Wilder's NPI (National Provider Identifier) Number is 1710999537. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Robert Edward Wilder is physically located?

The Robert Edward Wilder is situated at the following address: 1809 Lochamy Ln, Jacksonville, FL 322595479.

What is the area of specialization for Robert Edward Wilder, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Robert Edward Wilder is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.

On what date did the Robert Edward Wilder receive its 1710999537 assignment from the Centers for Medicare & Medicaid Services?

The Robert Edward Wilder was assigned its 1710999537 by the Centers for Medicare & Medicaid Services on 2006-08-12.

As of what date was the information pertaining to Robert Edward Wilder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert Edward Wilder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-11.

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