Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wilson Clinical Services, PLLC

Organization Clinical Neuropsychologist · NPI 1063643567

Wilson Clinical Services, PLLC is a Clinical Neuropsychologist in Tacoma, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2009
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1117 A St
Tacoma, WA 98402-5003
Phone: (360) 339-7752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Washington St Ste 2, Montpelier, ID 83254-1600 — (360) 359-2999

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X
Clinical Neuropsychologist Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 602937457 (WA)

Record details

NPI number1063643567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Wilson — Prescribing Medical Psychologist · (253) 200-0255
NPI enumeratedJuly 31, 2009
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address1117 A St, Tacoma, WA 98402-5003

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