DR. MARVIN D'ANDRE WILSON (NPI# 1467703033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467703033 |
| Entity Type | Individual |
| Full Name | DR. MARVIN D'ANDRE WILSON |
| Credential | PHD |
| Practice Address |
119 S Burrowes St Suite 607 State College PA 16801-3863 |
| Practice Telephone | 8142380921 |
| Practice Fax Number | 8142381875 |
| Mailing Telephone | 8142380921 |
| Mailing Fax Number | 8142381875 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSO17102 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386926582 | Marvin Harold Wilson | Surgery | 1912 Sw Indian Woods Ln, Topeka, KS 66611-1676 | 2011-09-13 |
| Street Address |
119 S BURROWES ST SUITE 607 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398812 | Rasik B Lal | Psychiatry & Neurology | 119 S Burrowes St, Suite # 604, State College, PA 16801-3863 | 2005-07-06 |
| 1053760967 | Desiree S Howell | Psychologist | 119 S Burrowes St, Ste 706, State College, PA 16801-3894 | 2016-06-10 |
| 1174913347 | Ashok J Bharucha Md PC | Psychiatry & Neurology | 119 S Burrowes St, Suie 602, State College, PA 16801-3894 | 2015-01-27 |
| 1447533310 | Andrew Mckinnon | Social Worker | 119 S Burrowes St, Ste 702, State College, PA 16801-3864 | 2011-09-27 |
| 1861711939 | Scotilla Psychological Services, L.L.C. | Counselor | 119 S Burrowes St, Suite 603, State College, PA 16801-3863 | 2010-05-27 |
| 1699936591 | Jill M Hranicka | Psychologist | 119 S Burrowes St, Suite 607, State College, PA 16801-3867 | 2008-06-23 |
| 1952562894 | Eric L Rhodes | Counselor | 119 S Burrowes St, State College, PA 16801-3863 | 2008-06-23 |
| 1598950503 | Vibha Lal | Psychologist | 119 S Burrowes St, Suite 604, State College, PA 16801-3863 | 2007-09-12 |
| 1114137122 | Claudia Anita Hutchinson | Counselor | 119 S Burrowes St, Suite #602, State College, PA 16801-3894 | 2007-05-22 |
| 1598885105 | Madeleine H Gill | Counselor | 119 S Burrowes St, Suite 703, State College, PA 16801-3863 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285066241 | Marie Land | Psychologist | 3181 Shellers Bnd, Apt. 20, State College, PA 16801-2795 | 2013-08-01 |
| 1225306681 | Nancy Farber | Psychologist | 114a Logan Ave, State College, PA 16801-6006 | 2011-12-13 |
| 1508075425 | Kurt M Gehlert | Psychologist | 925 W College Ave, State College, PA 16801-2804 | 2007-05-21 |
| 1962529503 | Leann Terry Diederich | Psychologist | 2017 Cato Ave, Suite 101, State College, PA 16801-2765 | 2007-03-26 |
| 1699821330 | Sarah C. Baker | Psychologist | 141 E. Fairmount Ave., State College, PA 16801 | 2007-01-26 |
| 1588275622 | Erica Wiley | Psychologist | 229 W Foster Ave, State College, PA 16801-4823 | 2020-08-12 |
| 1053760967 | Desiree S Howell | Psychologist | 119 S Burrowes St, Ste 706, State College, PA 16801-3894 | 2016-06-10 |
| 1588057509 | Jessica Crysten Effrig | Psychologist | 301 S Allen St, Suite 103a, State College, PA 16801-4847 | 2015-03-16 |
| 1639470602 | Maria A Vinca | Psychologist | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2010-11-08 |
| 1487873311 | Jeffrey A. Hayes | Psychologist | 229 W Foster Ave, State College, PA 16801-4823 | 2007-04-25 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on DR. MARVIN D'ANDRE WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.