Individual provider · Type 1 NPI

Clarence Elwood Wilson Jr., PhD

Psychologist · Chino, CA

NPI number 1992074876 Active

Practice location

14901 Central Ave
Chino, CA 91710-9500

Mailing address

8816 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91730-7199

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY 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.