Individual provider · Type 1 NPI
Mary Jo Wilson, PhD
Prescribing (Medical) Psychologist · New York, NY
Practice location
315 W 57th St, Suite 402
New York, NY 10019-3158
Fax (212) 757-2932
Mailing address
484 W 43rd St, 44-M
New York, NY 10036-6319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 010284 (NY) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1700909538
Mary Jo Wilson, PhD's National Provider Identifier is 1700909538, issued on Apr 8, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.