DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER MARY WILSON, PSYD

Active Sole Proprietor

DR. JENNIFER MARY WILSON, PSYD is a Clinical Psychologist healthcare provider located in ROCKFORD, Illinois. NPI 1114076460 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ROCKFORD, IL

Registration Details

NPI Number
1114076460
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2007 (19.588625790823 yrs)
Last Updated
Oct 8, 2015
License
71007181 (IL)
Sole Proprietor
Yes

Practice Information

Address
5702 ELAINE DR
SUITE A
ROCKFORD, IL, 611082458
Browse IL providers · Browse ZIP 61108
Phone
8156013981
Fax
8153991959
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ROCKFORD, IL

Name Credential NPI
SHERRY A FALSETTI PHD 1346224375
DR. MARTIN E. WOLFF ED.D. 1437135852
DR. JESSICA DANNENMAIER PSY,D. 1831122100
DR. KYLE J CUSHING PSY.D. 1346259157
JUDITH TRIGG PSY.D 1245243237
JAMES M VIGGIANO PHD 1073609426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.