Individual
MICHAEL R WILBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3055 AUSTIN BLUFFS PKWY, STE A, COLORADO SPRINGS, CO 80918-5748
(719) 597-8990
(719) 597-3608
Mailing address
3055 AUSTIN BLUFFS PKWY, STE A, COLORADO SPRINGS, CO 80918-5748
(719) 597-8990
(719) 597-3608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1442
CO
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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