Wilson, Christina Sara

Wilson, Christina Sara is an individual health care provider with primary practice located at 9000 Coombs Farm Rd Ste 202 , Morgantown WV 26508-1150. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Wilson, Christina Sara can be contacted via phone (304) 554-0504.

Contact Information

Primary practice address
9000 Coombs Farm Rd Ste 202 Morgantown WV 26508-1150
Phone: (304) 554-0504
Fax: (304) 554-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 652 West Virginia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 652 West Virginia

Profile Details

NPI number 1194798157
LBN Legal business name Wilson, Christina Sara
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194798157 NPPES
West Virginia MEDICAID 0164505000

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