Individual
DR. EDWARD S WILSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1518 SAVANNAH RD, LEWES, DE 19958
(302) 448-4266
(302) 448-4193
Mailing address
1518 SAVANNAH RD, LEWES, DE 19958
(302) 448-4266
(302) 448-4193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
B10000183
DE
103TC0700X
Clinical Psychologist
Primary
B1-0000183
DE
Other
Enumeration date
08/31/2006
Last updated
02/05/2019
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