Organization
DR. DENNIS W. WILSON
Active
Other names
Comprehensive Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS WAYNE WILSON PH.D. (OWNER)
(731) 431-0609
Entity
Organization
Contact information
Practice address
1784 W NORTHFIELD BLVD, #306, MURFREESBORO, TN 37219-1702
(731) 431-0609
(731) 426-1040
Mailing address
1784 W NORTHFIELD BLVD, #306, MURFREESBORO, TN 37219-1702
(731) 431-0609
(731) 426-1040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000001010
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3733574
—
TN
Enumeration date
06/22/2006
Last updated
08/22/2020
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