Individual
DR. MACY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2113 N HIGHWAY 175, SEAGOVILLE, TX 75159-2237
(972) 287-2911
Mailing address
2113 N HIGHWAY 175, SEAGOVILLE, TX 75159-2237
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38478
TX
Other
Enumeration date
01/05/2021
Last updated
09/29/2021
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