Individual
CATHY MCDANIELS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
52 W 5TH AVE STE C, COLUMBUS, OH 43201-7200
(614) 294-1751
(614) 294-2995
Mailing address
52 W 5TH AVE STE C, COLUMBUS, OH 43201-7200
(614) 294-1751
(614) 294-2995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2176096
—
OH
Enumeration date
04/26/2007
Last updated
07/28/2022
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