Wilson, Shirley Ann

Wilson, Shirley Ann is an individual health care provider with primary practice located at 7165 B Swinnea Ste 1, Southaven MS 38671. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wilson, Shirley Ann can be contacted via phone (662) 349-6658.

Contact Information

Primary practice address
7165 B Swinnea Ste 1 Southaven MS 38671
Phone: (662) 349-6658
Fax: (662) 349-6856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Mississippi
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X Mississippi
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Mississippi

Profile Details

NPI number 1871630178
LBN Legal business name Wilson, Shirley Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
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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