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

Dr. Bryan Wilson, EDD, NCSP, BC-TMH

Individual provider School Psychologist · NPI 1679907984

Dr. Bryan Wilson, EDD, NCSP, BC-TMH is a Clinical Psychologist in Marietta, Ohio. Qualified in 2024, 2 years ago. Licensed in Ohio and West Virginia.

Years since qualifying
2
Licensed in
OH, WV
In the registry since
2013
Specialties on file
3
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

See every abbreviation used in this directory →

Practice location Address checks out

200 Putnam St Ste 410
Marietta, OH 45750-3009
Phone: (740) 401-9766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence SP.00685 (OH)
School Psychologist Taxonomy 103TS0200X · Licence N3R136200287 (WV)
Psychologist Taxonomy 103T00000X · Licence SP.00685 (OH)

Record details

NPI number1679907984
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , NCSP , BC-TMH
Sole proprietorNo
NPI enumeratedAugust 23, 2013
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Marietta