Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THAD WILDERSON & ASSOCIATES PA
Active OrganizationTHAD WILDERSON & ASSOCIATES PA is a Child, Clinical Psychologist organization located in SAINT PAUL, Minnesota. NPI 1306973698 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · SAINT PAUL, MN
Registration Details
- NPI Number
- 1306973698
- Provider Type
- Organization
- NPI Issued
- Feb 27, 2007 (19.475021204427 yrs)
- Last Updated
- Sep 11, 2025
- License
-
LP0061 (MN)
Practice Information
- Address
-
475 UNIVERSITY AVE WSAINT PAUL, MN, 551031959Browse MN providers · Browse ZIP 55103
- Phone
- 6512258997
- Fax
- 6512251967
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Child, Clinical Psychologist
Other Child, Clinical Psychologist Organizations in SAINT PAUL, MN
| Name | NPI |
|---|---|
| LIFETRACK RESOURCES, INC. | 1225045362 |
| THAD WILDERSON & ASSOCIATES PA | 1649362237 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.