Individual
DR. CYNTHIA LEIGH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1022 W 23RD ST, STE 530, PANAMA CITY, FL 32405-3688
(850) 541-8520
(850) 541-9928
Mailing address
1022 W 23RD ST, STE 530, PANAMA CITY, FL 32405-3688
(850) 541-8520
(850) 541-9928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH9010
FL
103TC0700X
Clinical Psychologist
2001
KS
103TC0700X
Clinical Psychologist
Primary
PY9809
FL
Other
Enumeration date
01/30/2007
Last updated
02/17/2021
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