Thomas Perry Wilder
Individual provider Active NPI Counseling Psychologist · Swannanoa, NC
NPI 1720735707 · NPPES record last updated Mar 9, 2022
Key facts
- NPI
- 1720735707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 14474 (NC)
- Practice address
- 320 Mountain Crest Rd
Swannanoa, NC 28778-2314 - Phone
- (828) 899-0007
- NPI assigned
- Mar 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14474 | NC | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 14474 | NC | Yes |
Addresses
Primary practice location
320 Mountain Crest Rd
Swannanoa, NC 28778-2314
Mailing address
320 Mountain Crest Rd
Swannanoa, NC 28778-2314
Phone (828) 899-0007
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All providers in Swannanoa, NC · Counseling Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.