# BETH WILSON, PHD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508389347
- **Authorized official:** DR. ELIZABETH JANE WILSON PHD (SOLE PROPRIETOR)
- **Authorized official phone:** (425) 802-5232

## Contact information

- **Practice address:** 1621 114TH AVE SE STE 221, BELLEVUE, WA 98004-6905
- **Practice address phone:** (425) 802-5232
- **Practice address fax:** (425) 688-9987
- **Mailing address:** 1621 114TH AVE SE STE 221, BELLEVUE, WA 98004-6905
- **Mailing address phone:** (425) 802-5232
- **Mailing address fax:** (425) 688-9987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00002288 | WA | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 07/21/2022