Organization
WILPSYCH PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARQUEZ ERVIN WILSON PSYD (OWNER)
(775) 561-0442
Entity
Organization
Contact information
Practice address
1350 GRAND SUMMIT DR APT 142, RENO, NV 89523-2558
(775) 561-0442
(775) 996-5208
Mailing address
1350 GRAND SUMMIT DR APT 142, RENO, NV 89523-2558
(775) 561-0442
(775) 996-5208
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008640511
UNITED HEALTHCARE
—
Enumeration date
05/22/2024
Last updated
05/22/2024
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