Organization
DR. SHARON R. WILSON PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE R PAUL (OFFICE MGR)
(412) 922-1566
Entity
Organization
Contact information
Practice address
485 MANSFIELD AVE, PITTSBURGH, PA 15205-4344
(412) 922-1566
(412) 922-3516
Mailing address
485 MANSFIELD AVE, PITTSBURGH, PA 15205-4344
(412) 922-1566
(412) 922-3516
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005922L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1318479
HIGHMARK BC/BS
PA
Enumeration date
01/07/2008
Last updated
02/05/2008
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