Search › North Carolina › 101YA0400X
Stacy Wilson, PSY.D., LCAS, MAC
NPI 1992261085 · on the registry since 2019 · sole proprietor
Practice
- Address
- 145 Parker Fishery Rd
Winton, NC 27986 - Phone
- (252) 358-5200
Additional practice sites
- 1014 Island Park Cir, Suffolk, VA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 103T00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-14
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 North Carolina