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1912260779
NICHOLAS MATTHEW WISDOM
HOUSTON, TX
NPI
1912260779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: KS 2032)
Enumeration Date
2012-06-18
Last Update Date
2021-01-05
Business Address
DR. NICHOLAS MATTHEW WISDOM PH.D.
1300 BAY AREA BLVD STE B150-15
HOUSTON, TX 77058-2505
Phone number: 281-954-6828
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Mailing Address
DR. NICHOLAS MATTHEW WISDOM PH.D.
15222 WOODHORN DR
HOUSTON, TX 77062-3211
Phone number: 405-205-8405
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