Individual
DR. STEPHEN KENNETH WILEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 BRENNER AVE, SVAMC/11M2, SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3898
Mailing address
2482 CHEVARON DR, CONCORD, NC 28025-9465
(704) 785-8179
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
11304
NY
103TC0700X
Clinical Psychologist
Primary
2036
NC
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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