Individual
DR. GREGORY L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1240 SE BISHOP BLVD STE Q, PULLMAN, WA 99163-5439
(509) 334-0782
(509) 334-0361
Mailing address
1240 SE BISHOP BLVD STE Q, PULLMAN, WA 99163-5439
(509) 334-0782
(509) 334-0361
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY00001308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7066996
—
WA
Enumeration date
12/19/2006
Last updated
07/08/2007
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