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Search › Pennsylvania › 171M00000X

Jonathan Wilson, ED.D

NPI 1992392187 · on the registry since 2020

Practice

Address
6504 Elmwood Ave
Philadelphia, PA 19142
Phone
(267) 232-8383
Organisation at this address
Medhealth Community
Fathership Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-22

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 Pennsylvania