| John W. Wilson, Psyd, Llc | |
|
3115 Roswell Rd Suite 201 Marietta GA 30062-7605 | |
| (404) 246-1257 | |
| Not Available |
| Full Name | John W. Wilson, Psyd, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3115 Roswell Rd, Marietta, Georgia |
| Authorized Official Name and Position | John Wesley Wilson (OWNER/MANAGER) |
| Authorized Official Contact | 4042461257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Wilson, Psyd, Llc 1815 Annwicks Dr Marietta GA 30062-5407 Ph: (404) 246-1257 | John W. Wilson, Psyd, Llc 3115 Roswell Rd Suite 201 Marietta GA 30062-7605 Ph: (404) 246-1257 |
| NPI Number | 1508195504 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508195504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY003201 (Georgia) | Primary |
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