Individual
DAMERE TIANNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7000
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40711
TX
103TH0100X
Health Service Psychologist
40711
TX
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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