Stanley D Wilson in Everett - Psychologist

Stanley D Wilson - NPI 1104942374

Stanley D Wilson is a Psychologist in Everett, Washington. Stanley D Wilson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stanley D Wilson is 1104942374. The last update date is 2007-07-08.

Stanley D Wilson's current location address is 1814 105th St Se, Everett, Washington. You can contact this provider via phone number 4253858337 and fax number 4253853748. The mailing address for Stanley D Wilson is 1814 105th St Se, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Stanley D Wilson
Address 1814 105th St Se, Everett, Washington
Phone Number 4253858337
Fax Number 4253853748
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1104942374
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1814 105th St Se
City Everett
State Washington (WA)
Post Code 982084816
Phone Number 4253858337
Fax Number 4253853748

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY00000688
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 Stanley D Wilson

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

The Stanley D Wilson has been assigned the NPI (National Provider Identifier) 1104942374. 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 Stanley D Wilson?

The Stanley D Wilson is situated at 1814 105Th St Se, in the city of Everett, state of WA, with the zip code 982084816.

What is the area of specialization for Stanley D Wilson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stanley D Wilson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104942374 to Stanley D Wilson?

The Centers for Medicare & Medicaid Services assigned the 1104942374 to Stanley D Wilson on 2007-03-21.

When was the Stanley D Wilson's information last updated?

The Stanley D Wilson's information was last updated on 2007-07-08.

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