Natasha Wilson
Psychologist, School in Compton, CA. Individual provider (NPI-1).
NPI number1497951966
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497951966
- Entity type
- Individual (NPI-1)
- Name
- Ms. Natasha Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
1085 W. Victoria StreetCompton, CA 90220
Phone 310-868-5379 · Fax 310-868-5379
Mailing address
2601 E Victoria StSp 173
Compton, CA 90220-6016
Phone 310-638-7915
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