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Individual
DR. SANDRA LEE WILDER-PADILLA
Active
Individual
DR. SANDRA LEE WILDER-PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12784
CA
103TC0700X
Clinical Psychologist
PSY12784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189273
VALUE OPTIONS
CA
01
—
OPL127840
BLUE SHIELD
CA
Enumeration date
10/16/2006
Last updated
09/11/2025
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