NPI 1003938176

Charles Brady Wilson, PDD

Practitioner Clinical Psychologist Scottsdale, AZ

Practice location

Address: 9316 E Raintree Dr STE 130, Scottsdale, AZ 85260-3007
Phone: (480) 778-0202
Fax: (480) 778-0204
Mailing address: 9316 E Raintree Dr Suite 130, Scottsdale, AZ 85260-3005

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1213 (AZ)

Other Psychologist providers in Arizona →

Registry record

NPI: 1003938176
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2007
Record last updated: 20 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.