| Wilson Psychological Services Inc | |
|
5702 Elaine Dr Suite A Rockford IL 61108-2458 | |
| (815) 601-3981 | |
| (815) 399-1959 |
| Full Name | Wilson Psychological Services Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5702 Elaine Dr, Rockford, Illinois |
| Authorized Official Name and Position | Jennifer Mary Wilson (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8156013981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Psychological Services Inc 240 Walworth St Sharon WI 53585-9606 Ph: (815) 601-3981 | Wilson Psychological Services Inc 5702 Elaine Dr Suite A Rockford IL 61108-2458 Ph: (815) 601-3981 |
| NPI Number | 1144343625 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144343625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.007181 (Illinois) | Primary |
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