Individual
KACI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1573 W FAIRBANKS AVE STE 220, WINTER PARK, FL 32789-4679
(407) 303-7991
Mailing address
4170 SAGE BRUSH CIR, MELBOURNE, FL 32901-8225
(715) 495-0064
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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