THAD WILDERSON & ASSOCIATES PA
NPI: 1649362237
· SAINT PAUL, MN 55103
· Clinical Child & Adolescent Psychologist
· NPI assigned 09/29/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WILDERSON, THAD (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/29/2006 |
Related Entities
Other providers sharing the same authorized official: WILDERSON, THAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
66 |
24 |
$0.00 |