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

Tatum Daye Wilson

Individual provider Psychologist · NPI 1265108401

Tatum Daye Wilson is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

534 Fountain St NE
Grand Rapids, MI 49503-3422
Phone: (616) 456-1178
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6362009546 (MI)

Record details

NPI number1265108401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

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