| Doman & Wilson Psychological Service, Inc. | |
|
2476 Middlebury Dr Lathrop CA 95330-8457 | |
| (505) 514-7249 | |
| Not Available |
| Full Name | Doman & Wilson Psychological Service, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2476 Middlebury Dr, Lathrop, California |
| Authorized Official Name and Position | Melissa D Wilson-sanborn (PSYCHOLOGIST) |
| Authorized Official Contact | 5055147429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doman & Wilson Psychological Service, Inc. 931 10th St # 918 Modesto CA 95354-2305 Ph: (505) 514-7429 | Doman & Wilson Psychological Service, Inc. 2476 Middlebury Dr Lathrop CA 95330-8457 Ph: (505) 514-7249 |
| NPI Number | 1447037445 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447037445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |