| Organization Name: | ANN WILSON, PSY.D. PC |
| NPI Number: | 1497104103 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN MARIE WILSON (OWNER) |
| Mailing Address: | 9911 Sterling Village Dr Rosharon |
| State: | TX US |
| Postal Code: | 775830017 |
| Phone Number: | 8329195732 |
| Fax Number: | 7139694900 |
| NPI Enumeration Date: | 06/03/2016 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 36477 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |