Individual
DR. WOODROW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9361 SW 62ND ST, MIAMI, FL 33173-2303
(305) 342-3425
(305) 271-7744
Mailing address
9361 SW 62ND ST, MIAMI, FL 33173-2303
(305) 342-3425
(305) 271-7744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0002697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY0002697
LICENSED PSYCHOLOGIST #
FL
Enumeration date
05/30/2006
Last updated
07/08/2007
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