# DR. AMANDA LOUISE WILDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962991836
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 0101267521 | VA | — |
| 2084P0800X | Psychiatry Physician | 0101267521 | VA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 1019881 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 07/29/2026