Individual
DR. NICHOLAS MATTHEW WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
112 MAGNOLIA ESTATES DR, LEAGUE CITY, TX 77573-4719
(888) 606-0086
(346) 223-0296
Mailing address
112 MAGNOLIA ESTATES DR, LEAGUE CITY, TX 77573-4719
(888) 606-0086
(346) 223-0296
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1549
LA
103G00000X
Clinical Neuropsychologist
Primary
2032
KS
103G00000X
Clinical Neuropsychologist
Primary
37585
TX
103G00000X
Clinical Neuropsychologist
PY10489
FL
103TC0700X
Clinical Psychologist
1549
LA
103TC0700X
Clinical Psychologist
2032
KS
103TC0700X
Clinical Psychologist
37585
TX
103TC0700X
Clinical Psychologist
PY10489
FL
Other
Enumeration date
06/18/2012
Last updated
05/06/2026
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