# DR. KRISTEN A WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609177559
- **Gender:** F
- **Credential:** PSY.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1723 | KY | Yes |
| 103T00000X | Psychologist | 6925 | OH | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 1723 | KY | — |
| 103TC0700X | Clinical Psychologist | 1723 | KY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1723 | KY | — |
| 103TF0000X | Family Psychologist | 1723 | KY | — |
| 103TP2701X | Group Psychotherapy Psychologist | 1723 | KY | — |

## Other

- **Enumeration date:** 11/09/2010
- **Last updated:** 04/01/2013