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Contact Information

CHAD WILSON
9200 BIDDULPH ROAD
BROOKLYN, OH44144
 Phone: 216-485-8142
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHAD WILSON · (Male)

NPI Number 1033529342
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2014
Last updated 05/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # OH1462384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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