Shirley a Wilson

NPI #1356548549 in Southaven, Mississippi

Provider Information

NPI Number: 1356548549
Entity Type: Organization
Organization Name: Shirley a Wilson
Primary Specialty: Psychologist
Enumeration Date: Jun 29, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 7160 TCHULAHOMA RD # B
Address 2: STE 1
City: Southaven
State: Mississippi
ZIP Code: 38671-9266
Phone: (662) 349-6658

Authorized Official

Name: DR. SHIRLEY ANN WILSON, PHD
Title: PSYCHOLOGIST OWNER
Phone: (662) 349-6658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary

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