James Clinton Wilson in San Rafael - Clinical Neuropsychologist

James Clinton Wilson - NPI 1902932783

James Clinton Wilson is a Clinical Neuropsychologist in San Rafael, California. James Clinton Wilson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for James Clinton Wilson is 1902932783. The last update date is 2007-07-08.

James Clinton Wilson's current location address is 49 Creekside Dr, San Rafael, California. You can contact this provider via phone number 4154997767 and fax number 4154851939. The mailing address for James Clinton Wilson is 49 Creekside Dr, San Rafael, California. To know further, please read the information below!

Provider Profile Detail

Provider Name James Clinton Wilson
Address 49 Creekside Dr, San Rafael, California
Phone Number 4154997767
Fax Number 4154851939
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1902932783
Provider Enumeration Date 2007-02-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 49 Creekside Dr
City San Rafael
State California (CA)
Post Code 949031076
Phone Number 4154997767
Fax Number 4154851939

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PSY10276
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about James Clinton Wilson

What is the unique 10-digit identification code issued to James Clinton Wilson by the Centers for Medicare & Medicaid Services?

The James Clinton Wilson has been assigned the NPI (National Provider Identifier) 1902932783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where James Clinton Wilson's facilities are geographically located?

The facilities of James Clinton Wilson are physically situated at the following location: 49 Creekside Dr, San Rafael, CA, 949031076.

What is the James Clinton Wilson's area of specialization and corresponding taxonomy classification?

The James Clinton Wilson's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1902932783 to James Clinton Wilson?

The James Clinton Wilson received its 1902932783 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.

When was the information regarding James Clinton Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to James Clinton Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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