ROGER KENNETH WILDE

SEBRING, FL
NPI1356427181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY2692)
Enumeration Date2006-10-27
Last Update Date2014-01-27
Business Address
-- ROGER KENNETH WILDE ED.D.
5704 THUNDER RD
SEBRING, FL 33876-5400
Phone number: 863-414-3970
Mailing Address
-- ROGER KENNETH WILDE ED.D.
5704 THUNDER RD
SEBRING, FL 33876-5400
Phone number: 863-414-3970