MS. LISA ANN WILDENBERGER MSSPED NPI 1588929749

NPI Information

MS. Lisa Ann Wildenberger, MSSPED is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Lisa Ann Wildenberger, MSSPED NPI is 1588929749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

788 COLUMBUS AVE
APT 11C
NEW YORK, NY
ZIP 10025-951
Phone: (917) 912-1772

The enumeration date for this NPI number is 7/12/2012 and was last updated on 7/21/2022.

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:

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