MR. Carl Giovanni Wiley

NPI #1285961664 in Champaign, Illinois

Provider Information

NPI Number: 1285961664
Entity Type: Individual
Name: MR. Carl Giovanni Wiley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Counseling
Enumeration Date: Nov 5, 2009
Last Updated: Nov 5, 2009

Practice Location

Address: 1801 FOX DR
City: Champaign
State: Illinois
ZIP Code: 61820-7236
Phone: (217) 359-5276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Psychologist - Counseling — Counseling	103TC1900X	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X

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