Individual
DR. BRYAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D., NCSP, BC-TMH
Contact information
Practice address
200 PUTNAM ST STE 410, MARIETTA, OH 45750-3009
(740) 401-9766
Mailing address
1648 GREATHOUSE RD, WILLIAMSTOWN, WV 26187-8400
(304) 550-7523
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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