Individual
MS. BARBARA A WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
30375 CR 357, BUENA VISTA, CO 81211
(719) 395-6787
Mailing address
30375 CR 357, BUENA VISTA, CO 81211
(719) 395-6787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06507522
—
CO
Enumeration date
08/08/2007
Last updated
08/08/2007
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