Lisa Diane Wilson in Overland Park - Clinical Child & Adolescent

Lisa Diane Wilson - NPI 1881878916

Lisa Diane Wilson is a Clinical Child & Adolescent in Overland Park, Kansas. Lisa Diane Wilson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Lisa Diane Wilson is 1881878916. The last update date is 2023-01-18.

Lisa Diane Wilson's current location address is 11642 Garnett St, Overland Park, Kansas. You can contact this provider via phone number 9133706541. The mailing address for Lisa Diane Wilson is 11642 Garnett St, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Diane Wilson
Address 11642 Garnett St, Overland Park, Kansas
Phone Number 9133706541
Fax Number
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1881878916
Provider Enumeration Date 2007-12-26
Last Updated Date 2023-01-18

Provider Mailing Address Detail

Address 11642 Garnett St
City Overland Park
State Kansas (KS)
Post Code 662103435
Phone Number 9133706541
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No T-LP1703
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Lisa Diane Wilson

What is the Lisa Diane Wilson's 1881878916?

The Lisa Diane Wilson's NPI (National Provider Identifier) Number is 1881878916. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lisa Diane Wilson is geographically located?

The Lisa Diane Wilson is physically situated at the following location: 11642 Garnett St, Overland Park, KS, 662103435.

What is Lisa Diane Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa Diane Wilson's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.

When did Lisa Diane Wilson receive its 1881878916 assignment?

The Lisa Diane Wilson was assigned its 1881878916 on 2007-12-26, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Lisa Diane Wilson most recently updated or revised?

The information pertaining to Lisa Diane Wilson, including its address, specialty, and other relevant details, was last updated or revised on 2023-01-18.

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