Shirley A Wilson in Southaven - Clinical Child & Adolescent
Shirley A Wilson - NPI 1356548549
Shirley A Wilson is a Clinical Child & Adolescent in Southaven, Mississippi. Shirley A Wilson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Shirley A Wilson is 1356548549. The last update date is 2008-06-30.
Shirley A Wilson's current location address is 7160 Tchulahoma Rd # B, Southaven, Mississippi. You can contact this provider via phone number 6623496658 and fax number 6623496856. The mailing address for Shirley A Wilson is 7160 Tchulahoma Rd # B, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shirley A Wilson |
|---|---|
| Address | 7160 Tchulahoma Rd # B, Southaven, Mississippi |
| Phone Number | 6623496658 |
| Fax Number | 6623496856 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Wilson Ann Shirley |
| Credentials | PHD |
| Telephone Number | 6623496658 |
NPI Number Detail
| NPI Number | 1356548549 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 7160 Tchulahoma Rd # B |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386719266 |
| Phone Number | 6623496658 |
| Fax Number | 6623496856 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shirley A Wilson by the Centers for Medicare & Medicaid Services?
The Shirley A Wilson has been assigned the NPI (National Provider Identifier) 1356548549 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Shirley A Wilson is physically located?
The Shirley A Wilson is physically situated at the following address: 7160 Tchulahoma Rd # B, Southaven, MS, 386719266.
What is Shirley A Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shirley A Wilson is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
When was the Shirley A Wilson's 1356548549 issued?
The Shirley A Wilson's 1356548549 was issued on 2007-06-29.
As of what date were the Shirley A Wilson's details last updated?
The information pertaining to the Shirley A Wilson, including its address, specialty, and other details, was most recently updated on 2008-06-30.
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