Individual
MARCUS WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4800 MEMORIAL DR BLDG 93, WACO, TX 76711-1329
(254) 297-3747
Mailing address
4800 MEMORIAL DR BLDG 93, WACO, TX 76711-1329
(254) 297-3747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
40050
TX
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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