Whalio Doctors

NPI 1063603652

Eleanor Kay Wilder, LMFT

Practitioner Psychoanalyst Santa Cruz, CA

Practice location

Address
555 Soquel Ave Suite 240, Santa Cruz, CA 95062-2336
Phone
(831) 425-1531
Mailing address
327 Alamo Ave, Santa Cruz, CA 95060-3005

Registered specialties

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence MFC47911 (CA)

Registry record

NPI
1063603652
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Aug 2007
Record last updated
7 Jun 2011

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.