Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thad Wilderson & Associates PA

Organization Clinical Child & Adolescent Psychologist · NPI 1649362237

Thad Wilderson & Associates PA is a Clinical Child & Adolescent Psychologist in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

475 University Ave W
Saint Paul, MN 55103-1959
Phone: (651) 225-8997
Fax: (651) 225-1697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LP0061 (MN)

Record details

NPI number1649362237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thad Wilderson — Executive Director · (651) 225-8997
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address475 University Ave W, Saint Paul, MN 55103-1959

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