Organization
ISLAND CARE MENTAL HEALTH
Active
Other names
Island Care Mental Health, Mary Deborah Wilson PMHNP
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DEBORAH WILSON PMHNP (SOLE PROVIDER)
(410) 641-5190
Entity
Organization
Contact information
Practice address
11022 NICHOLAS LANE, UNIT 2 SUITE1 VILLAGE SQUARE CENTER, BERLIN, MD 21811-1663
(443) 513-0222
Mailing address
11022 NICHOLAS LANE, UNIT 2 SUITE 1 VILLAGE SQUARE CENTER, BERLIN, MD 21811-1663
(410) 641-5190
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R056757
MD
2084P0804X
Child & Adolescent Psychiatry Physician
R056757
MD
2084P0805X
Geriatric Psychiatry Physician
R056757
MD
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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