Organization
LINDA A. WILSON PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA A. WILSON PH.D. (OWNER/PRESIDENT)
(706) 580-1600
Entity
Organization
Contact information
Practice address
681 LAYFIELD BRANCH RD, HAMILTON, GA 31811-4110
(706) 580-1600
(706) 243-1346
Mailing address
681 LAYFIELD BRANCH RD, HAMILTON, GA 31811-4110
(706) 580-1600
(706) 243-1346
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031482448
—
GA
Enumeration date
12/06/2021
Last updated
12/06/2021
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