NPI 1003121898
Crystal Wildes, PSYDLP
Practice location
- Address
- 4611 Plettner Ln STE. 100, Evergreen, CO 80439-7396
- Phone
- (720) 443-3112
- Mailing address
- 4611 Plettner Ln STE 100, Evergreen, CO 80439-7396
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1003121898
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Aug 2010
- Record last updated
- 24 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.