Individual
DR. BETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2476
(510) 307-1808
Mailing address
2390 HYDE ST, SAN FRANCISCO, CA 94109-1505
(415) 441-0773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 13101
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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