Individual
SHERMAN A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
1222 N MAIN AVE, SUITE 740, SAN ANTONIO, TX 78212-5712
(210) 271-7411
(210) 271-9414
Mailing address
1222 N MAIN AVE, SUITE 740, SAN ANTONIO, TX 78212-5712
(210) 271-7411
(210) 271-9414
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
36310
TX
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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