DR. Clarence Elwood Wilson JR., PH.D.

NPI #1992074876 in Chino, California

Provider Information

NPI Number: 1992074876
Entity Type: Individual
Name: DR. Clarence Elwood Wilson JR., PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Dec 21, 2011
Last Updated: Dec 21, 2011

Practice Location

Address: 14901 CENTRAL AVE
City: Chino
State: California
ZIP Code: 91710-9500
Phone: (909) 597-1821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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