Individual
DR. SCOTT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1101 VETERANS DR, MAIL STOP 116A5-LD, LEXINGTON, KY 40502-2235
(859) 233-4511
Mailing address
1101 VETERANS DR, MAIL STOP 116A5-LD, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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