Individual
DR. JOANNE WILCOFF WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3550 CONCORD RD, YORK, PA 17402-8626
(717) 851-6340
(717) 851-6349
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6349
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS008979L
PA
103TC0700X
Clinical Psychologist
PS008979L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS008979L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02137502
CAPITAL BLUE CROSS
PA
01
—
162726
VALUE OPTIONS
PA
01
—
1810443
PA BLUE SHIELD
PA
01
—
2171602
CIGNA BEHAV HEALTH
PA
01
—
276783000
MAGELLAN
PA
01
—
284922
MAMSI
PA
Enumeration date
06/30/2006
Last updated
02/02/2012
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