Wilson, Clarence Elwood

Wilson, Clarence Elwood is an individual health care provider with primary practice located at 14901 Central Ave , Chino CA 91710-9500. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wilson, Clarence Elwood can be contacted via phone (909) 597-1821.

Contact Information

Primary practice address
14901 Central Ave Chino CA 91710-9500
Phone: (909) 597-1821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 15219 California

Profile Details

NPI number 1992074876
LBN Legal business name Wilson, Clarence Elwood
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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