Wilson, Timothy

Wilson, Timothy is an individual health care provider with primary practice located at 5351 Delmar Blvd , Saint Louis MO 63112-3146. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Wilson, Timothy can be contacted via phone (314) 277-0759.

Contact Information

Primary practice address
5351 Delmar Blvd Saint Louis MO 63112-3146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2012039133 Missouri

Profile Details

NPI number 1679981302
LBN Legal business name Wilson, Timothy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2014
Last updated Jul 25th, 2014 - about 11 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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