Most Relevant Information
Provider Data
| NPI Number: | 1003167743 |
| Provider Name: | KENT A WILSON PSYCHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 1119 |
Most Important Dates
| Enumeration Date: | 09/20/2012 |
| Last Updated: | 11/10/2024 |
Provider Practice Location
2460 W 26TH AVE STE 10-C
DENVER
CO
802115308
Practice Location Phone/Fax
| Phone: | 3032341026 |
| Fax: | 3037587798 |
Provider Mailing Location
2460 W 26TH AVE STE 10-C
DENVER
CO
802115308
Provider Mailing Phone/Fax
| Phone: | 3032341026 |
| Fax: | 3037587798 |