Organization
WILSON PSYCHOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMA HIATT WILSON (LICENSED PSYCHOLOGIST)
(256) 238-8113
Entity
Organization
Contact information
Practice address
1115 LEIGHTON AVE STE 1-A, ANNISTON, AL 36207-4610
(256) 238-8113
(256) 238-8955
Mailing address
1115 LEIGHTON AVE STE 1-A, ANNISTON, AL 36207-4610
(256) 238-8113
(256) 238-8955
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184829145
—
CA
Enumeration date
01/25/2021
Last updated
01/25/2021
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