| Doctor Name: | CHRISTY V WILSON |
| NPI Number: | 1013021740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CDMS, CRC |
| License Number: | 1989 |
| Business Practice Address: | 120 N Bryant Ave Ste A5 Edmond, OK - 730346300 |
| Business Phone Number: | 4056405270 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1729, NORMAN |
| State: | OK |
| Postal Code: | 730701729 |
| Phone Number: | 4053213499 |
| Fax Number: | 4053645379 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |