Individual
DR. SALLY L. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30500 FAIRMOUNT BLVD STE 9, PEPPER PIKE, OH 44124-4802
(440) 442-9355
Mailing address
PO BOX 241186, LYNDHURST, OH 44124-8786
(440) 442-9355
(216) 371-2108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3535
OH
Other
Enumeration date
11/22/2006
Last updated
11/30/2018
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