| Doctor Name: | CHERYL WILD |
| NPI Number: | 1760514053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 456 N Pitt St Mercer, PA - 161371129 |
| Business Phone Number: | 7246627202 |
| Business Fax Number: | 7246627208 |
| Mailing Address: | 8 Ruby Dr, GROVE CITY |
| State: | PA |
| Postal Code: | 161274686 |
| Phone Number: | 7244587959 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |