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

DR. MOLLI MARIE WILSON, PHD

Active Sole Proprietor

Psychologist · COVINGTON, WA

Registration Details

NPI Number
1639216120
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2007 (19.250946358513 yrs)
Last Updated
Feb 5, 2010
Licenses
PY00003780 (WA)
LW00005493 (WA)
Sole Proprietor
Yes

Practice Information

Address
17121 SE 270TH PL
SUITE 205
COVINGTON, WA, 98042
Browse WA providers · Browse ZIP 98042
Phone
4254138970
Fax
2536387465
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Social Worker

Other Psychologist Providers in COVINGTON, WA

Name Credential NPI
CARL SWANSTROM PHD 1295891232
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.