SearchWisconsin103TC0700X

Tyla Wilder

NPI 1598398992 · on the registry since 2020

Practice

Address
1575 Allouez Ave
Green Bay, WI 54311
Phone
(303) 617-2300
Organisation at this address
Caravel Autism Health, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-06

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 Wisconsin