DR. CONNIE J. WILSON (NPI# 1194925420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194925420 |
Entity Type | Individual |
Full Name | DR. CONNIE J. WILSON |
Credential | PSY.D. |
Practice Address |
720 W Center Ave Ste C Visalia CA 93291-6047 |
Practice Telephone | 5597334566 |
Practice Fax Number | 5597334566 |
Mailing Telephone | 5597334566 |
Mailing Fax Number | 5597334566 |
Enumeration Date | 2007-07-24 |
Last Update Date | 2010-04-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 18473 | CA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY 18473 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124540984 | Connie N Wilson | Counselor | 302 N Jackson St, Starkville, MS 39759-2504 | 2017-07-13 |
1619341260 | Connie Marie Wilson | Nurse Practitioner | 1919 Lincoln Way, Suite 315, Coeur D Alene, ID 83814-2527 | 2015-11-19 |
1235192881 | Connie Marie Wilson | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2006-04-06 |
Street Address |
720 W CENTER AVE STE C |
City | VISALIA |
State | CA |
Zip Code | 93291-6047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
Find all providers in zip 93291 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881071975 | Efrat M Mazin | Psychologist | 24511 W. Jayne Street, Visalia, CA 93278-3181 | 2015-04-28 |
1063789840 | Stephen Bindler | Psychologist | 3445 W Fairmont Ct, Visalia, CA 93291-4201 | 2011-11-22 |
1578795118 | Adam G Fogel | Psychologist | 4125 W Noble Ave, Suite 197, Visalia, CA 93277-1662 | 2009-08-16 |
1841408127 | Brock L. Fowler | Psychologist | 1311 N Alder St, Visalia, CA 93292-3184 | 2007-05-18 |
1083830780 | Elizabeth R Gates | Psychologist | 631 W Willow Ave, Visalia, CA 93291-6101 | 2007-04-18 |
1649316043 | Nonnette Hope Mosley | Psychologist | 113 N Church St, Suite M1, Visalia, CA 93291 | 2007-01-30 |
1609958917 | Sean D. Ahlmeyer | Psychologist | 2526 S Jensen St, Visalia, CA 93292-1390 | 2006-10-19 |
1154427573 | Jennifer M Newell | Psychologist | 1830 S Central St, Visalia, CA 93277-4418 | 2006-09-15 |
1104861152 | Lance Y Zimmerman | Psychologist | 4126 S Demaree St, Visalia, Visalia, CA 93277-9514 | 2006-06-16 |
1386645919 | David Duane Wood | Psychologist | 1914 S Court St, Visalia, CA 93277-5426 | 2005-08-04 |
Find all providers in VISALIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.