Shirley Ann Wilson in Southaven - Clinical Child & Adolescent
Shirley Ann Wilson - NPI 1871630178
Shirley Ann Wilson is a Clinical Child & Adolescent in Southaven, Mississippi. Shirley Ann Wilson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Shirley Ann Wilson is 1871630178. The last update date is 2007-07-08.
Shirley Ann Wilson's current location address is 7165 B Swinnea, Southaven, Mississippi. You can contact this provider via phone number 6623496658 and fax number 6623496856. The mailing address for Shirley Ann Wilson is 7165 B Swinnea, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Ann Wilson |
|---|---|
| Address | 7165 B Swinnea, Southaven, Mississippi |
| Phone Number | 6623496658 |
| Fax Number | 6623496856 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1871630178 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7165 B Swinnea |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 38671 |
| 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 provider identifier assigned to Shirley Ann Wilson?
The Shirley Ann Wilson has been issued the NPI (National Provider Identifier) 1871630178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shirley Ann Wilson is located?
The Shirley Ann Wilson is situated at the following address: 7165 B Swinnea, Southaven, MS, 38671.
What is Shirley Ann Wilson's area of expertise and its corresponding taxonomy classification?
The Shirley Ann Wilson's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1871630178 to Shirley Ann Wilson?
The Centers for Medicare & Medicaid Services assigned the 1871630178 to Shirley Ann Wilson on 2007-01-30.
When was the information regarding Shirley Ann Wilson most recently updated?
The details pertaining to the Shirley Ann Wilson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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