Individual
DR. COURTNAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
357 SHIELDS DR, BENNINGTON, VT 05201-9810
(802) 447-1409
Mailing address
357 SHIELDS DR, BENNINGTON, VT 05201-9810
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
048.0132465
VT
Other
Enumeration date
01/08/2018
Last updated
01/19/2018
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