CHRISTINA S WILSON PH.D.

Clinical Neuropsychologist

Morgantown, West Virginia

Provider NPI: 1194798157

Provider Information:
 CHRISTINA S WILSON PH.D.
Gender: F


Practice Location:
930 CHESTNUT RIDGE RD  MORGANTOWN, WV 26505 US
Tel: 304-598-4214  Fax: 304-293-6963

Business Mailing Address:
PO BOX 897  MORGANTOWN, WV 26507 US
Tel: 304-293-7401  Fax: 304-293-6963

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	WV	652

Other Provider Identifiers:

Issuer	Number	State	Type
	0164505000	WV	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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