| Wilson Psychology Group Llc | |
|
1115 Leighton Ave Ste 1-a Anniston AL 36207-4610 | |
| (256) 238-8113 | |
| (256) 238-8955 |
| Full Name | Wilson Psychology Group Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1115 Leighton Ave Ste 1-a, Anniston, Alabama |
| Authorized Official Name and Position | Emma Hiatt Wilson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2562388113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Psychology Group Llc 1115 Leighton Ave Ste 1-a Anniston AL 36207-4610 Ph: (256) 238-8113 | Wilson Psychology Group Llc 1115 Leighton Ave Ste 1-a Anniston AL 36207-4610 Ph: (256) 238-8113 |
| NPI Number | 1851981641 |
|---|---|
| Provider Enumeration Date | 01/25/2021 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 4981013240 |
|---|---|
| Medicare Enrollment ID | O20210518000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851981641 | NPI | - | NPPES |
| 1184829145 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Emma Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184829145 PECOS PAC ID: 6204183700 Enrollment ID: I20190321002129 |
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