DR. Shirley Ann Wilson, PHD

NPI #1871630178 in Southaven, Mississippi

Provider Information

NPI Number: 1871630178
Entity Type: Individual
Name: DR. Shirley Ann Wilson, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Cognitive & Behavioral
Credential: PHD
Enumeration Date: Jan 30, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 7165 B SWINNEA
Address 2: STE 1
City: Southaven
State: Mississippi
ZIP Code: 38671
Phone: (662) 349-6658

Specialties & Taxonomy Codes

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

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