Dr Ronald Terry Wilson, PSYD, LCAC, LMFT is a
Psychologist - Clinical based in Henderson, Kentucky. Dr Ronald Terry Wilson is licensed to practice in California (license number 31505) and his current practice location is
104 N Elm St, Henderson, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 454-4558.
NPI number for Dr Ronald Terry Wilson is 1285809392 and his current mailing address is 104 N Elm St, Henderson, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285809392.
Healthcare Provider's Profile
| Full Name | Dr Ronald Terry Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 104 N Elm St, Henderson, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285809392
- Provider Enumeration Date: 04/29/2008
- Last Update Date: 03/14/2023
Medical Identifiers
Medical identifiers for Dr Ronald Terry Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285809392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 39001951A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000390A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 168501 (Kentucky) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39001951A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3900195AA (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39001951A (Indiana) | Secondary |
| 101YS0200X | Counselor - School | 964686 (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 35001731A (Indiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 31505 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ronald Terry Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ronald Terry Wilson, PSYD, LCAC, LMFT
104 N Elm St,
Henderson, KY 42420-3131
Ph: (270) 454-4558 | Dr Ronald Terry Wilson, PSYD, LCAC, LMFT
104 N Elm St,
Henderson, KY 42420-3131
Ph: (270) 454-4558 |
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