Provider Demographics
NPI:1831704501
Name:WILSON PSYCHOLOGICAL & FORENSIC SERVICES, PLLC
Entity type:Organization
Organization Name:WILSON PSYCHOLOGICAL & FORENSIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLETHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-685-6518
Mailing Address - Street 1:4626 SUNDOWN CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4523
Mailing Address - Country:US
Mailing Address - Phone:832-901-5038
Mailing Address - Fax:
Practice Address - Street 1:12920 DAIRY ASHFORD RD STE 105
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3178
Practice Address - Country:US
Practice Address - Phone:832-685-6518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty