IndividualActive
Jennifer Wilson, PSYD
NPI 1114076460 · Clinical Psychologist · Rockford, IL
Provider details
- NPI number
- 1114076460
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 71007181 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5702 Elaine Dr
Suite a
Rockford, IL 61108-2458
Phone: (815) 601-3981
Fax: (815) 399-1959
Approximate (ZIP-level) locationGet directions
Mailing address
240 Walworth St
Sharon, WI 53585-9606
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2015-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.