Wilder, Evelyn Iris

Wilder, Evelyn Iris is an individual health care provider with primary practice located at 529 Kansas City St , Rapid City SD 57701-3693. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilder, Evelyn Iris can be contacted via phone (605) 348-6086.

Contact Information

Primary practice address
529 Kansas City St Rapid City SD 57701-3693
Phone: (605) 348-6086
Fax: (605) 348-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12091537 South Dakota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-MH2289 South Dakota

Profile Details

NPI number 1417294133
LBN Legal business name Wilder, Evelyn Iris
Credentials LPC-MH, QMHP, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Mar 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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