Individual
BETH G WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
96 GRAHAM ROAD, SUITE A, CUYAHOGA FALLS, OH 44223
(330) 929-1326
(330) 929-1327
Mailing address
96 GRAHAM ROAD, SUITE A, CUYAHOGA FALLS, OH 44223
(930) 929-1326
(330) 929-1327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819967
—
OH
Enumeration date
10/11/2006
Last updated
07/08/2007
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