Individual
DR. JAMI WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
63 SOCKANOSSET CROSS RD, SUITE 2A7, CRANSTON, RI 02920-5557
(401) 406-1101
Mailing address
228 DARTMOUTH WOODS DR, DARTMOUTH, MA 02747-5116
(513) 404-1122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSO1419
RI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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