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Wilson Clinical Services, PLLC. — NPI 1063643567, Tacoma, WA | NPI Central

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NPI 1063643567

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Wilson Clinical Services, PLLC.

NPI 1063643567 · Prescribing (Medical) Psychologist · Tacoma, WA

Provider details

NPI number: 1063643567
Entity type: Organization
Primary specialty: Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Jaime Wilson, Prescribing Medical Psychologist(253) 200-0255

Specialties & taxonomies

Prescribing (Medical) PsychologistPrimary103TP0016X
Behavioral Health & Social Service Providers
Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Community/Behavioral Health Agency251S00000XLicense 602937457 (WA)
Agencies

Practice location

1117 a St

Tacoma, WA 98402-5003

Phone: (360) 339-7752

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

1117 a St

Tacoma, WA 98402-5003

Additional practice locations (1)

455 Washington St Ste 2
Montpelier, ID 83254-1600
Phone: (360) 359-2999

Registry dates

Enumerated: 2009-07-31
Last updated: 2023-02-09
Certified: 2023-02-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.