Individual
DR. WILDEMAR IRENE SUMMERS TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2803 MEDICAL CAMPUS DR, GOLDSBORO, NC 27531
(919) 722-1802
Mailing address
2803 MEDICAL CAMPUS DR, GOLDSBORO, NC 27531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0004264
CO
103T00000X
Psychologist
6888
NC
103TC0700X
Clinical Psychologist
0004264
CO
103TC1900X
Counseling Psychologist
560
SD
Other
Enumeration date
08/21/2017
Last updated
02/23/2026
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