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WILSON CLINICAL SERVICES PLLC. NPI 1063643567


NPI Information

NPI: 1063643567
Provider Name: WILSON CLINICAL SERVICES, PLLC.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1117 A ST
TACOMA, WA
ZIP 98402
Phone: (360) 339-7752
Get Directions

WILSON CLINICAL SERVICES, PLLC. is a prescribing (medical) psychologist in Tacoma, WA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. WILSON CLINICAL SERVICES, PLLC. NPI is 1063643567. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1117 A ST
TACOMA, WA
ZIP 98402-003
Phone: (360) 339-7752

The provider's authorized official is Jaime A B Wilson .
The authorized official title is Prescribing Medical Psychologist and has the following contact phone number (253) 200-0255.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 2/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
2103TC0700XPsychologistClinicalNo
3251S00000XCommunity/Behavioral Health602937457WASHINGTONNo
4103TP0016XPsychologistPrescribing (Medical)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.