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

Derek Alan Wilson

Individual provider Developmental Therapist · NPI 1043829302

Derek Alan Wilson is a Developmental Therapist in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
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Practice location Address checks out

4160 Piedmont Pkwy Ste 207
Greensboro, NC 27410-8174
Phone: (336) 645-6733
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Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (NC)

Record details

NPI number1043829302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2020
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address5202 Olde Forest Dr, Greensboro, NC 27406-8763

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