Individual
DR. JAIME A B WILSON
Active
Individual
DR. JAIME A B WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., ABPP, MSCP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
PSYC.PY.60074792
WA
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
ID
Other
Enumeration date
09/12/2007
Last updated
02/09/2023
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