Kathryn Wilson, PD - in Detroit, MI

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Kathryn Wilson, PD is a Clinical Neuropsychologist based in Detroit, Michigan. Kathryn Wilson is licensed to practice in Michigan (license number 6301014211) and her current practice location is 1 Ford Pl Ste 1f, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 874-4907.

NPI number for Kathryn Wilson is 1235423104 and her current mailing address is 235 Wealthy St Se, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235423104.

Contact Information

Kathryn Wilson, PD
1 Ford Pl Ste 1f,
Detroit, MI 48202-3450
(313) 874-4907
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathryn Wilson
GenderFemale
SpecialityClinical Neuropsychologist
Location1 Ford Pl Ste 1f, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235423104
  • Provider Enumeration Date: 06/08/2011
  • Last Update Date: 08/28/2023

Medical Identifiers

Medical identifiers for Kathryn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235423104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TR0400XPsychologist - Rehabilitation 6301014211 (Michigan)Secondary
103G00000XClinical Neuropsychologist 6301014211 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Wilson, PD
235 Wealthy St Se,
Grand Rapids, MI 49503-5247

Ph: (616) 840-8000		Kathryn Wilson, PD
1 Ford Pl Ste 1f,
Detroit, MI 48202-3450

Ph: (313) 874-4907

Reviews and Comments



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