Individual
JAY WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
205 BRYCE CIR STE C, SIMPSONVILLE, SC 29681-4842
(864) 420-3605
Mailing address
205 BRYCE CIR STE C, SIMPSONVILLE, SC 29681-4842
(864) 420-3605
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
0810005806
VA
Other
Enumeration date
09/26/2017
Last updated
03/30/2025
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