Individual
JAMES CLINTON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
712 D ST STE N, SAN RAFAEL, CA 94901-3706
(415) 485-1939
(415) 485-1939
Mailing address
49 CREEKSIDE DR, SAN RAFAEL, CA 94903-1076
(415) 499-7767
(415) 485-1939
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY10276
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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