Individual
DR. ERIN J WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1437 S BELL SCHOOL RD STE 7, ROCKFORD, IL 61108-1405
(815) 627-0641
Mailing address
PO BOX 229, SUBLETTE, IL 61367-0229
(815) 627-0641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
269565
KY
103K00000X
Behavior Analyst
282-140
WI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
071-007297
IL
Other
Enumeration date
05/04/2007
Last updated
11/03/2021
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