Individual
CHYRL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, HSPP
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
300 MAIN ST STE 318, LAFAYETTE, IN 47901-1328
(708) 303-8884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043075A
IN
Other
Enumeration date
08/06/2014
Last updated
08/11/2022
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