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Individual

DR. THOMAS ANDREW WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
831 HIGHWAY 150 S, EVANSTON, WY 82930-5340
(307) 789-3464
Mailing address
PO BOX 177, EVANSTON, WY 82931-0177
(307) 789-3464

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
303824-2501
UT
103TC0700X
Clinical Psychologist
Primary
574
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
497413401
MO
Enumeration date
09/13/2006
Last updated
08/24/2016
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