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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881690972 | NPPES |
| California | Other | PSY8321 | PSYCHOLOGIST |
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