Dennis W Wilson PHD Pllc

NPI #1356533137 in Milan, Tennessee

Provider Information

NPI Number: 1356533137
Entity Type: Organization
Organization Name: Dennis W Wilson PHD Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 15, 2007
Last Updated: Jun 9, 2011

Practice Location

Address: 1020 ELLINGTON DR
City: Milan
State: Tennessee
ZIP Code: 38358-3150
Phone: (731) 431-0609

Authorized Official

Name: DENNIS W WILSON, PHD
Title: OWNER
Phone: (731) 431-0609

Specialties & Taxonomy Codes

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

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