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DR. ERIN J WADE PH.D. NPI 1396957882


NPI Information

NPI: 1396957882
Provider Name: DR. ERIN J WADE, PH.D.
Classification: Psychologist - 103TM1800X
Entity Type: Individual

Specialization: Intellectual and Developmental Disabilities

Address:
1437 S BELL SCHOOL RD STE 7
ROCKFORD, IL
ZIP 61108
Phone: (815) 627-0641
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DR. Erin J Wade, PH.D. is an intellectual and developmental disabilities in Rockford, IL. DR. Erin J Wade, PH.D. NPI is 1396957882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1437 S BELL SCHOOL RD STE 7
ROCKFORD, IL
ZIP 61108-405
Phone: (815) 627-0641

The enumeration date for this NPI number is 5/4/2007 and was last updated on 11/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TM1800XPsychologistIntellectual and Developmental Disabilities071-007297ILLINOISYes
2103K00000XBehavior Analyst269565KENTUCKYNo
3103K00000XBehavior Analyst282-140WISCONSINNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.