Individual
HAL E WILDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6700 BETA DR, SUITE 301, CLEVELAND, OH 44143-2363
(440) 446-9696
(440) 449-1435
Mailing address
6700 BETA DR, SUITE 301, CLEVELAND, OH 44143-2363
(440) 446-9696
(440) 449-1435
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3846
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690748
—
OH
Enumeration date
06/15/2006
Last updated
08/23/2007
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