| Wilson Clinical Services, Pllc. | |
|
1117 A St Tacoma WA 98402-5003 | |
| (360) 339-7752 | |
| Not Available |
| Full Name | Wilson Clinical Services, Pllc. |
|---|---|
| Speciality | Psychologist |
| Location | 1117 A St, Tacoma, Washington |
| Authorized Official Name and Position | Jaime A B Wilson (PRESCRIBING MEDICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2532000255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Clinical Services, Pllc. 1117 A St Tacoma WA 98402-5003 Ph: (360) 339-7752 | Wilson Clinical Services, Pllc. 1117 A St Tacoma WA 98402-5003 Ph: (360) 339-7752 |
| NPI Number | 1063643567 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 0547423477 |
|---|---|
| Medicare Enrollment ID | O20120511000529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063643567 | NPI | - | NPPES |
| Provider Name | Jaime Ab Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396930343 PECOS PAC ID: 0840344917 Enrollment ID: I20090825000175 |
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