Wilson Psychological Services INC

NPI #1144343625 in Rockford, Illinois

Provider Information

NPI Number: 1144343625
Entity Type: Organization
Organization Name: Wilson Psychological Services INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 9, 2007
Last Updated: Oct 8, 2015

Practice Location

Address: 5702 ELAINE DR
Address 2: SUITE A
City: Rockford
State: Illinois
ZIP Code: 61108-2458
Phone: (815) 601-3981

Authorized Official

Name: DR. JENNIFER MARY WILSON, PSY.D.
Title: LICENSED CLINICAL PSYCHOLOGIST
Phone: (815) 601-3981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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