Individual provider · Type 1 NPI
Erin J. Wade, PhD
Intellectual & Developmental Disabilities Psychologist · Rockford, IL
NPI number
1396957882
Active
Practice location
1437 S Bell School Rd Ste 7
Rockford, IL 61108-1405
Mailing address
PO Box 229
Sublette, IL 61367-0229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 071-007297 (IL) |
| Behavior Analyst | 103K00000X | 269565 (KY) |
| Behavior Analyst | 103K00000X | 282-140 (WI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1396957882
Erin J. Wade, PhD's National Provider Identifier is 1396957882, issued on May 4, 2007. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Rockford, IL. The record was last updated on Nov 3, 2021.