Search › Idaho › 103TC0700X
Christina Wilson, PHD
NPI 1962665299 · on the registry since 2008
Practice
- Address
- 444 W Fort St Fl 2
Boise, ID 83702 - Phone
- (208) 422-1018
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103TB0200X
103TF0000X
103TP2701X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho