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Individual

WENDY ELIZABETH WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1101 EDGAR ST, YORK, PA 17403-2862
(717) 851-1500
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS017278
PA
103TC0700X
Clinical Psychologist
Primary
PS017278
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2752730
HIGHMARK BLUE SHIELD
PA
01
4219858
CIGNA BEHAVIORAL HEALTH
PA
01
50112522
CAPITAL BLUE CROSS - WMG
PA
Enumeration date
10/10/2012
Last updated
12/12/2024
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