Mary Jo Wilson, PH.D

NPI #1700909538 in New York, New York

Provider Information

NPI Number
1700909538
Entity Type
Individual
Name
Mary Jo Wilson, PH.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Prescribing (Medical)
Credential
PH.D
Enumeration Date
Apr 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
315 W 57TH ST
Address 2
SUITE 402
ZIP Code
10019-3158
Phone
(212) 757-6607

Specialties & Taxonomy Codes

Specialty
Psychologist - Prescribing (Medical)Prescribing (Medical)

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