Individual
LORI ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9300
(770) 677-9400
Mailing address
4549 CHAMBLEE DUNWOODY RD, ATLANTA, GA 30338-6210
(770) 677-9300
(770) 677-9400
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY0002210
GA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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