IndividualActive
Cristina Wilson
NPI 1649742479 · Adult Development & Aging Psychologist · Pismo Beach, CA
Provider details
- NPI number
- 1649742479
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 405801964 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
108 Holly Way
Pismo Beach, CA 93449-3221
Phone: (805) 904-6592
Fax: (805) 904-6593
Approximate (ZIP-level) locationGet directions
Mailing address
108 Holly Way
Pismo Beach, CA 93449-3221
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.