Individual
DR. ANTHONY WAYNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
2322 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-7485
Mailing address
2322 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 533-7485
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
139
AL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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