THAD WILDERSON & ASSOCIATES PA – Clinical Child & Adolescent Psychologist, NPI 1649362237

THAD WILDERSON & ASSOCIATES PA is a healthcare provider. based in Saint paul, Minnesota. specializing in Clinical Child & Adolescent Psychologist. The organization holds a License No. LP0061 (MN). The NPI Number for THAD WILDERSON & ASSOCIATES PA is 1649362237

Main info

Organization
Name
THAD WILDERSON & ASSOCIATES PA
NPI
1649362237
Phone
(651) 225-8997
Address
475 UNIVERSITY AVE W
Authorized Official
MR. THAD WILFRED WILDERSON EXECUTIVE DIRECTOR LP
Enumeration Date
29 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for THAD WILDERSON & ASSOCIATES PA

  • University Avenue West, Saint Paul, Ramsey County, Minnesota, 55104, United States

    SAINT PAUL, MN 551031959

    Phone: (651) 225-8997

    Fax: (651) 225-1697

    Mailing address matches the actual address.

NPPES updates history

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Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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