James Clinton Wilson, PH.D. Valid NPI

Individual provider · Clinical Neuropsychologist · San Rafael, CA

NPI

1902932783

Type

Individual (Type 1)

Primary specialty

Clinical Neuropsychologist

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103G00000X

License number

PSY10276 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-26

Last updated

2007-07-08