Mary Jo Wilson, PHD - New York, NY

Mary Jo Wilson, PHD

Prescribing (Medical) Psychologist in New York, New York

NPI 1700909538

Mary Jo Wilson is a Prescribing (Medical) Psychologist based in New York, NY and is specialized in Prescribing (Medical). Mary Jo Wilson practices in New York, NY and has the professional credentials of PHD. The NPI Number for Mary Jo Wilson is 1700909538 and holds a License No. 010284 (New York).

The current practice location address for Mary Jo Wilson is 315 W 57Th St, New York, NY and can be reached out via phone at 212-757-6607 and via fax at 212-757-2932.

Location: 315 W 57Th St, New York, NY, 10036-6319

NPI Number

1700909538

Provider Name

Mary Jo Wilson

Credential

PHD

Provider Entity Type

Individual

Gender

Female

Address

315 W 57Th St, New York, NY, 10036-6319

Phone Number

212-757-6607

Fax Number

212-757-2932

Provider Enumeration Date

04/08/2007

Last Update Date

03/09/2024

Address

315 W 57Th St

City

New York

State

New York

Zip

10019-3158

Phone Number

212-757-6607

Fax Number

212-757-2932

Address

315 W 57Th St

City

New York

State

New York

Zip

10019-3158

Phone Number

212-757-6607

Fax Number

212-757-2932

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Prescribing (Medical)

Taxonomy

103TP0016X

License No.

010284 (New York)

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

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