Individual
DR. DOUG C. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY 22708
Contact information
Practice address
3808 W RIVERSIDE DR STE 400, BURBANK, CA 91505-5301
(323) 791-6094
Mailing address
3808 W RIVERSIDE DR STE 400, BURBANK, CA 91505-5301
(323) 791-6094
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22708
CA
Other
Enumeration date
12/06/2019
Last updated
07/06/2022
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