IndividualActive
Jaime Wilson, PH.D., ABPP, MSCP
NPI 1396930343 · Prescribing (Medical) Psychologist · Tacoma, WA
Provider details
- NPI number
- 1396930343
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., ABPP, MSCP
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1117 a St
Tacoma, WA 98402-5003
Phone: (360) 339-7752
Approximate (ZIP-level) locationGet directions
Mailing address
1117 a St
Tacoma, WA 98402-5003
Additional practice locations (1)
- 455 Washington St Ste 2Montpelier, ID 83254-1600Phone: (360) 359-2999
Registry dates
- Enumerated
- 2007-09-12
- 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.