Individual
DR. RODNEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4366
(601) 703-4064
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1972
AL
103TC0700X
Clinical Psychologist
Primary
54949
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00579380
—
MS
Enumeration date
12/11/2013
Last updated
12/03/2015
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