| Emily Engelland Wilson, Pllc | |
|
2828 1st Ave Ste 203 Huntington WV 25702-1236 | |
| (304) 522-1133 | |
| (304) 522-1134 |
| Full Name | Emily Engelland Wilson, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2828 1st Ave Ste 203, Huntington, West Virginia |
| Authorized Official Name and Position | Emily Engelland Wilson (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3043022467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Engelland Wilson, Pllc 2828 1st Ave Ste 203 Huntington WV 25702-1236 Ph: (304) 522-1133 | Emily Engelland Wilson, Pllc 2828 1st Ave Ste 203 Huntington WV 25702-1236 Ph: (304) 522-1133 |
| NPI Number | 1811100597 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811100597 | NPI | - | NPPES |
| 001720549 | Other | WV | BLUE CROSS BLUE SHIELD # |
| 1068911 | Other | WV | WORKER'S COMPENSATION # |
| 3810006848 | Medicaid | WV | |
| 9480068000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 752 (West Virginia) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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