Ann Wilson, Psy.d. Pc | |
2901 Wilcrest Dr Houston TX 77042-3399 | |
(713) 300-0713 | |
Not Available |
Full Name | Ann Wilson, Psy.d. Pc |
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Speciality | Psychologist |
Location | 2901 Wilcrest Dr, Houston, Texas |
Authorized Official Name and Position | Ann Marie Wilson (OWNER) |
Authorized Official Contact | 8329195732 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ann Wilson, Psy.d. Pc Po Box 173 Jerome AZ 86331-0173 Ph: (832) 919-5732 | Ann Wilson, Psy.d. Pc 2901 Wilcrest Dr Houston TX 77042-3399 Ph: (713) 300-0713 |
NPI Number | 1497104103 |
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Provider Enumeration Date | 06/03/2016 |
Last Update Date | 01/18/2024 |
Certification Date | 01/18/2024 |
Medicare PECOS PAC ID | 6901190925 |
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Medicare Enrollment ID | O20160812001535 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497104103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 36477 (Texas) | Primary |
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