NPI 1013182658
David Wilde
Practice location
- Address
- 914 Mission Ave 3rd Floor, San Rafael, CA 94901-6106
- Phone
- (415) 457-6964
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1013182658
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2008
- Record last updated
- 24 Apr 2008
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.