Individual
DR. CHRISTOPHER ROBIN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2304 MARKETPLACE DR, WACO, TX 76711-2467
(254) 202-7300
(254) 202-7350
Mailing address
PO BOX 848476, DALLAS, TX 75284-8476
(254) 202-4655
(254) 202-4697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588033849
NPPES
TX
Enumeration date
09/16/2015
Last updated
09/01/2020
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