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Individual

DR. ANN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
15750 FOOTHILL BLVD, CASTRO VALLEY, CA 94578-1012
(713) 300-0713
Mailing address
PO BOX 173, JEROME, AZ 86331-0173
(713) 300-0713

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36477
TX
103TC0700X
Clinical Psychologist
PSY22450
CA

Other

Enumeration date
11/09/2012
Last updated
06/18/2025
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