John Wesley Wilson in Marietta - Clinical

John Wesley Wilson - NPI 1730345612

John Wesley Wilson is a Clinical in Marietta, Georgia. John Wesley Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Wesley Wilson is 1730345612. The last update date is 2008-08-01.

John Wesley Wilson's current location address is 1815 Annwicks Dr, Marietta, Georgia. You can contact this provider via phone number 4042461257. The mailing address for John Wesley Wilson is 1815 Annwicks Dr, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name John Wesley Wilson
Address 1815 Annwicks Dr, Marietta, Georgia
Phone Number 4042461257
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1730345612
Provider Enumeration Date 2008-07-31
Last Updated Date 2008-08-01

Provider Mailing Address Detail

Address 1815 Annwicks Dr
City Marietta
State Georgia (GA)
Post Code 300625407
Phone Number 4042461257
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY003201
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about John Wesley Wilson

What is the John Wesley Wilson's unique identification number?

The John Wesley Wilson has been assigned the NPI (National Provider Identifier) Number 1730345612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where John Wesley Wilson is geographically located?

The John Wesley Wilson is physically situated at the following location: 1815 Annwicks Dr, Marietta, GA, 300625407.

What is John Wesley Wilson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Wesley Wilson is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730345612 to John Wesley Wilson?

The Centers for Medicare & Medicaid Services assigned the 1730345612 to John Wesley Wilson on 2008-07-31.

As of what date were the John Wesley Wilson's details last updated?

The information pertaining to the John Wesley Wilson, including its address, specialty, and other details, was most recently updated on 2008-08-01.

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