Individual provider · Type 1 NPI

Ingrid Marie Wilson, PhD

Clinical Psychologist · View Park, CA

NPI number 1780890723 Active

Practice location

3741 Stocker St, #105
View Park, CA 90008-5109

Fax (877) 207-3820

Mailing address

4712 Admiralty Way, 512
Marina Del Rey, CA 90292-6905

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY15620 (CA)

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 1780890723

Ingrid Marie Wilson, PhD's National Provider Identifier is 1780890723, issued on May 15, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in View Park, CA. The record was last updated on Dec 6, 2016.