Individual provider · Type 1 NPI

Derek Alan Wilson

Developmental Therapist · Greensboro, NC

NPI number 1043829302 Active

Practice location

4160 Piedmont Pkwy Ste 207
Greensboro, NC 27410-8174

Call (336) 645-6733 Map

Mailing address

5202 Olde Forest Dr
Greensboro, NC 27406-8763

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1043829302

Derek Alan Wilson's National Provider Identifier is 1043829302, issued on Jul 23, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Greensboro, NC. The record was last updated on Jul 23, 2020.