Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS CRISTINA AMBOS WILSON
Active Sole ProprietorMISS CRISTINA AMBOS WILSON is a Adult Development & Aging Psychologist healthcare provider located in PISMO BEACH, California. NPI 1649742479 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · PISMO BEACH, CA
Registration Details
- NPI Number
- 1649742479
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2018 (7.6822602862403 yrs)
- Last Updated
- Dec 18, 2018
- License
-
405801964 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 HOLLY WAYPISMO BEACH, CA, 934493221Browse CA providers · Browse ZIP 93449
- Phone
- 8059046592
- Fax
- 8059046593
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
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.