Individual
DR. MICHAEL W WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6479
Mailing address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
(256) 705-6479
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1526
AL
103TC1900X
Counseling Psychologist
1526
AL
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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