Individual
DR. BENJAMIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3125 MYERS ST STE 2, RIVERSIDE, CA 92503-5527
(951) 358-4840
(951) 358-4848
Mailing address
9890 COUNTY FARM RD, RIVERSIDE, CA 92503-3505
(951) 358-4840
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY25427
CA
Other
Enumeration date
07/22/2008
Last updated
05/03/2021
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