person
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. You can also correspond with Mary Jo Wilson through the mailing address at 484 W 43RD ST, NEW YORK, NY - 10036-6319 (mailing address contact number: 212-564-1174).

Location: 315 W 57Th St, New York, NY, 10036-6319
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
315 W 57Th St
City
State
Zip
10019-3158
Phone Number
212-757-6607
Fax Number
212-757-2932
person
Provider Business Mailing Address Details
Address
315 W 57Th St
City
State
Zip
10019-3158
Phone Number
212-757-6607
Fax Number
212-757-2932
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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