Individual
AMY ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 LAKE FORREST DRIVE, CENTURY SPRINGS WEST SUITE 103, ATLANTA, GA 30328
(404) 256-9325
Mailing address
620 OLD JONES RD, ALPHARETTA, GA 30004
(404) 521-9525
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2534
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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