Individual
DR. NICOLAS RAY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
931 S MAIN ST STE E, #288, KERNERSVILLE, NC 27284-7459
(336) 993-6000
Mailing address
931 S MAIN ST STE E, #288, KERNERSVILLE, NC 27284-7459
(336) 462-8523
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810009277
VA
103TC0700X
Clinical Psychologist
Primary
083766
IA
Other
Enumeration date
07/29/2013
Last updated
03/26/2026
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