Individual
DR. DAVID LEE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5200 CHURN CREEK RD STE E, REDDING, CA 96002-3930
(530) 223-2777
(530) 223-0977
Mailing address
5200 CHURN CREEK RD STE E, REDDING, CA 96002-3930
(530) 223-2777
(530) 223-0977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 3325
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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