Individual
DR. BRIAN ANDREW WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16203 HAMPTON TRACE CT, TAMPA, FL 33647-2745
(727) 239-5684
Mailing address
17401 COMMERCE PARK BLVD STE 103-0319, TAMPA, FL 33647-3501
(727) 239-5684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8981
FL
Other
Enumeration date
06/15/2006
Last updated
09/12/2021
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