Victoria L Wilson (NPI# 1649208018, PAC ID# 4587746375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1649208018 |
| PAC ID by PECOS | 4587746375 |
| Professional Enrollment ID | I20190815001477 |
| Full Name | Victoria L Wilson |
| Organization Legal Name | WILSON AND WYNN INTERVENTIONS, PLC |
| Address |
680 3 Mile Rd Nw C Grand Rapids MI 49544-8218 |
| Phone Number | 6166473460 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0143302935 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 | 6166473460 | WILSON AND WYNN INTERVENTIONS, PLC |
| Organization Legal Name | WILSON AND WYNN INTERVENTIONS, PLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Leonard | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Laura Triezenberg | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Jennifer Barabas | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Street Address |
680 3 MILE RD NW C |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49544-8218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy G Leonard | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Laura Triezenberg | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Jennifer Barabas | Clinical Social Worker | Wilson and Wynn Interventions, Plc | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Cindy L Haner Velzen | Clinical Social Worker | Kent County Cmh Authority | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Susan F. Jongekryg | Clinical Social Worker | Kent County Cmh Authority | 680 3 Mile Rd Nw C, Grand Rapids, MI 49544-8218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan K Bailey | Nurse Practitioner | Pine Rest Christian Mental Health Services | 2118 3 Mile Nwrd, Grand Rapids, MI 49544-1425 |
| Sarah K Deyoung | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Chelsea M Collins | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Stephen E Kornoely | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Jonathan M Haeffele | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Elizza B Lejeune | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Julie Ann Lasky Albright | Clinical Social Worker | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Lisa A Hanna | Physician Assistant | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Grand Rapids, MI 49544-1425 |
| Justin D Sides | Psychologist, Clinical | Pine Rest Christian Mental Health Services | 2118 3 Mile Rd Nw, Pine Rest Northwest Clinic, Grand Rapids, MI 49544-1452 |
| Nicole Markiewicz | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 933 3 Mile Rd Nw, Suite 210, Grand Rapids, MI 49544-1673 |
| Find all physicians in zip 49544 | |||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | GRAND RAPIDS + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Victoria L Wilson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.