Wilson, Connie J.
Wilson, Connie J. is an sole proprietor health care provider with primary practice located at 720 W Center Ave Ste C , Visalia CA 93291-6047. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Connie J. can be contacted via phone (559) 733-4566.Contact Information
Primary practice address
720 W Center Ave Ste C
Visalia CA 93291-6047
Phone: (559) 733-4566
Fax: (559) 733-4566
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 18473 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 18473 | California |
Profile Details
NPI number | 1194925420 |
---|---|
LBN Legal business name | Wilson, Connie J. |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2007 |
Last updated | Apr 29th, 2010 - about 14 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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