NPI 1902932783

James Clinton Wilson, PHD

Practitioner Clinical Neuropsychologist San Rafael, CA

Practice location

Address: 712 D St STE N, San Rafael, CA 94901-3706
Phone: (415) 485-1939
Fax: (415) 485-1939
Mailing address: 49 Creekside Dr, San Rafael, CA 94903-1076

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY10276 (CA)

Other Clinical Neuropsychologist providers in California →

Registry record

NPI: 1902932783
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2007
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.