| Doctor Name: | DR. CHARLES BRADY WILSON |
| NPI Number: | 1003938176 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PD.D. |
| License Number: | 1213 |
| Business Practice Address: | 9316 E Raintree Dr Suite 130 Scottsdale, AZ - 852603005 |
| Business Phone Number: | 4807780202 |
| Business Fax Number: | 4807780204 |
| Mailing Address: | 9316 E Raintree Dr, Suite 130 SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852603005 |
| Phone Number: | 4807780202 |
| Fax Number: | 4807780204 |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |