Individual
DR. LAURIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1177 WILLOW AVE, NAPA, CA 94559-2101
(707) 696-6273
Mailing address
1177 WILLOW AVE, NAPA, CA 94559-2101
(707) 696-6273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13557
CA
Other
Enumeration date
11/29/2006
Last updated
03/25/2020
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