Individual provider · Type 1 NPI

Jennifer Mary Wilson, PSYD

Clinical Psychologist · Rockford, IL

NPI number 1114076460 Active

Practice location

5702 Elaine Dr, Suite A
Rockford, IL 61108-2458

Call (815) 601-3981 Map

Fax (815) 399-1959

Mailing address

240 Walworth St
Sharon, WI 53585-9606

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X71007181 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114076460

Jennifer Mary Wilson, PSYD's National Provider Identifier is 1114076460, issued on Jan 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rockford, IL. The record was last updated on Oct 8, 2015.