Codie Jo Wilson in Pagosa Springs - Psychologist

Codie Jo Wilson - NPI 1588761720

Codie Jo Wilson is a Psychologist in Pagosa Springs, Colorado. Codie Jo Wilson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Codie Jo Wilson is 1588761720. The last update date is 2021-07-12.

Codie Jo Wilson's current location address is Po Box 3915, Pagosa Springs, Colorado. You can contact this provider via phone number 9709037192 and fax number 9707310357. The mailing address for Codie Jo Wilson is Po Box 3915, Pagosa Springs, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Codie Jo Wilson
Address Po Box 3915, Pagosa Springs, Colorado
Phone Number 9709037192
Fax Number 9707310357
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1588761720
Provider Enumeration Date 2006-09-20
Last Updated Date 2021-07-12

Provider Mailing Address Detail

Address Po Box 3915
City Pagosa Springs
State Colorado (CO)
Post Code 81147
Phone Number 9709037192
Fax Number 9707310357

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 874LPC
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Codie Jo Wilson

What is the unique identifier code issued to Codie Jo Wilson by the Centers for Medicare & Medicaid Services (CMS)?

The Codie Jo Wilson has been assigned the NPI (National Provider Identifier) 1588761720. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Codie Jo Wilson?

The Codie Jo Wilson is situated at Po Box 3915, in the city of Pagosa Springs, state of CO, with the zip code 81147.

What is Codie Jo Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Codie Jo Wilson's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1588761720 to Codie Jo Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1588761720 to Codie Jo Wilson on 2006-09-20.

When was the information regarding Codie Jo Wilson most recently updated?

The details pertaining to the Codie Jo Wilson, including its address, specialty, and other relevant information, were last refreshed on 2021-07-12.

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