Active NPIIndividual provider

Dr. Jean Pao Wilson, PHD

Psychologist, Clinical in West Springfield, Massachusetts

NPI Number1598210171
Practice location
117 Park Ave Ste 205, West Springfield, MA 01089-3371
Fax
413-732-7688
Last updated
September 14, 2016

Jean Pao Wilson is a Psychologist, Clinical based in West Springfield, MA. Jean Pao Wilson practices in West Springfield, MA and has the professional credentials of PHD. The NPI Number for Jean Pao Wilson is 1598210171 and holds a License No. 7891 (MA). The current practice location address for Jean Pao Wilson is 117 Park Ave Ste 205, West Springfield, MA 01089-3371 and can be reached out via phone at 413-732-7677 and via fax at 413-732-7688.

Provider Profile Details

NPI Number
1598210171
Provider Name
Jean Pao Wilson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
117 Park Ave Ste 205, West Springfield, MA 01089-3371
Phone Number
413-732-7677
Fax Number
413-732-7688
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2016
Last Update Date
September 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Park Ave Ste 205
West Springfield, MA 01089-3371
Zip
01089-3371
Phone Number
413-732-7677
Fax Number
413-732-7688
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
117 Park Ave Ste 205
West Springfield, MA 01089-3371
City
West Springfield
State
MA
Zip
01089-3371
Phone Number
413-732-7677
Fax Number
413-732-7688

License Information

License Number
7891
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jean Pao Wilson, PHD?

The NPI number of Dr. Jean Pao Wilson, PHD is 1598210171. It was assigned on August 24, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jean Pao Wilson, PHD?

Dr. Jean Pao Wilson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7891.

Where does Dr. Jean Pao Wilson, PHD practice?

The practice location is 117 Park Ave Ste 205, West Springfield, MA 01089-3371. The office can be reached at 413-732-7677 (phone) or 413-732-7688 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598210171 directly on the NPPES registry website.

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