DR. Donald Lester Wilson JR., PHD

NPI #1154429348 in Fort Wayne, Indiana

Provider Information

NPI Number
1154429348
Entity Type
Individual
Name
DR. Donald Lester Wilson JR., PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Counseling
Credential
PHD
Enumeration Date
Sep 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2121 LAKE AVE
Address 2
VA NIHCS
State
Indiana
ZIP Code
46805-5100
Phone
(260) 426-5431

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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