Wilson, Rick

Wilson, Rick is an individual health care provider with primary practice located at 1647 Anaheim St , Harbor City CA 90710-3213. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Rick can be contacted via phone (310) 534-5590.

Contact Information

Primary practice address
1647 Anaheim St Harbor City CA 90710-3213
Phone: (310) 534-5590
Fax: (310) 534-5591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8321 California

Profile Details

NPI number 1881690972
LBN Legal business name Wilson, Rick
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1881690972 NPPES
California Other PSY8321 PSYCHOLOGIST

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