Provider Demographics
NPI:1811040496
Name:WILSON, TOYAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TOYAH
Middle Name:
Last Name:WILSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 REMINGTON RD
Mailing Address - Street 2:SUITE T
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4833
Mailing Address - Country:US
Mailing Address - Phone:630-723-9361
Mailing Address - Fax:847-519-9089
Practice Address - Street 1:1305 REMINGTON RD
Practice Address - Street 2:SUITE T
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4833
Practice Address - Country:US
Practice Address - Phone:630-723-9361
Practice Address - Fax:847-519-9089
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006891103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical