Search › Vermont › 101YM0800X
Jack Wildwood, PHD
NPI 1205317906 · on the registry since 2018 · sole proprietor
Practice
- Address
- 133 Gallery Ln
Morrisville, VT 05661 - Phone
- (802) 505-9044
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont