Individual provider · Type 1 NPI

Randall Glenn Wilson, PSY.D.

Clinical Psychologist · San Diego, CA

NPI number 1861685257 Active

Practice location

3203 Clairemont Dr, Apt. 2
San Diego, CA 92117-6449

Call (732) 232-0462 Map

Mailing address

7626 Radcliffe Dr, Apt. B
Madison, WI 53719-2087

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PY 8888 (FL)

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 1861685257

Randall Glenn Wilson, PSY.D.'s National Provider Identifier is 1861685257, issued on Aug 20, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 9, 2013.