Individual provider · Type 1 NPI
Clarence Elwood Wilson Jr., PhD
Psychologist · Chino, CA
Practice location
14901 Central Ave
Chino, CA 91710-9500
Mailing address
8816 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91730-7199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY 15219 (CA) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1992074876
Clarence Elwood Wilson Jr., PhD's National Provider Identifier is 1992074876, issued on Dec 21, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Chino, CA. The record was last updated on Dec 21, 2011.