DR. SHIRLEY ANN WILSON PHD NPI 1871630178

NPI Information

  • NPI: 1871630178
  • Provider Name: DR. SHIRLEY ANN WILSON, PHD
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • Address: 7165 B SWINNEA
    STE 1
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 349-6658

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NPI Details

DR. Shirley Ann Wilson, PHD is a cognitive and behavioral psychologist in Southaven, MS. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Shirley Ann Wilson, PHD NPI is 1871630178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7165 B SWINNEA
STE 1
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-6658
Fax: (662) 349-6856

The enumeration date for this NPI number is 1/30/2007 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistMISSISSIPPINo
2103TB0200XPsychologistCognitive & BehavioralMISSISSIPPIYes
3103TC2200XPsychologistClinical Child & AdolescentMISSISSIPPINo

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: 11/21/2025

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