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Individual

DR. BRYAN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D., NCSP, BC-TMH

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
SP.00685
OH
103TS0200X
School Psychologist
N3R136200287
WV
103TS0200X
School Psychologist
Primary
SP.00685
OH

Other

Enumeration date
08/23/2013
Last updated
02/20/2026
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