Individual
DR. ROBERT E. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
(410) 996-5197
Mailing address
951 SABLEWOOD RD APT K, BEL AIR, MD 21014-3430
(410) 638-8075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03174
MD
Other
Enumeration date
01/11/2007
Last updated
07/13/2010
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