IndividualActive
Shirley Wilson, PHD
NPI 1871630178 · Cognitive & Behavioral Psychologist · Southaven, MS
Provider details
- NPI number
- 1871630178
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Practice location
7165 B Swinnea
Ste 1
Southaven, MS 38671
Phone: (662) 349-6658
Fax: (662) 349-6856
Approximate (ZIP-level) locationGet directions
Mailing address
7165 B Swinnea
Southaven, MS 38671
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.