Individual
ANN ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 874-7634
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60426798
WA
103TC0700X
Clinical Psychologist
PY 60426798
WA
Other
Enumeration date
10/06/2009
Last updated
01/17/2025
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