Individual provider · Type 1 NPI

Crystal Wildes, PSY.D., LP

Clinical Psychologist · Evergreen, CO

NPI number 1003121898 Active

Practice location

4611 Plettner Ln, Ste. 100
Evergreen, CO 80439-7396

Mailing address

4611 Plettner Ln Ste 100
Evergreen, CO 80439-7396

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY.0004027 (CO)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1003121898

Crystal Wildes, PSY.D., LP's National Provider Identifier is 1003121898, issued on Aug 17, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evergreen, CO. The record was last updated on Feb 24, 2025.