NPI 1366400707

Kenneth Spencer Wilson, PHD

Practitioner Counseling Psychologist Bartlesville, OK

Practice location

Address: 501 S Johnstone Ave, Bartlesville, OK 74003-6609
Phone: (918) 337-6050
Fax: (918) 336-6061
Mailing address: 501 S Johnstone Ave, Bartlesville, OK 74003-6638

Registered specialties

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 966 (OK)

Other Psychologist providers in Oklahoma →

Registry record

NPI: 1366400707
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2006
Record last updated: 8 Jul 2007

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.