Individual provider · Type 1 NPI

Renee Elizabeth Wilson, PhD

Specialist · Wayne, NJ

NPI number 1619205598 Active

Practice location

401 Hamburg Tpke, Ste. 303
Wayne, NJ 07470

Call (973) 790-9222 Map

Fax (973) 790-0671

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X35S100472700 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619205598

Renee Elizabeth Wilson, PhD's National Provider Identifier is 1619205598, issued on Dec 3, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wayne, NJ. The record was last updated on Dec 3, 2009.