Organization
WILDER PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEEN WILDER PSYD (CLINICAL DIRECTOR)
(972) 519-1692
Entity
Organization
Contact information
Practice address
1255 W 15TH ST STE 320, PLANO, TX 75075-7275
(972) 519-1692
Mailing address
1255 W 15TH ST STE 320, PLANO, TX 75075-7275
(972) 519-1692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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