National Provider Identifier Database

JILLON S VANDER WAL
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

JILLON S VANDER WAL
4801 E LINWOOD BLVD
KANSAS CITY, MO64128-2226
Phone: 816-861-4700
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Cognitive & Behavioral 103TB0200X
Health Service 103TH0100X

* Indicates primary specialty

NPI Profile & details for JILLON S VANDER WAL

NPI Number 1467669960
Credentials
Entity Individual
Enumeration date 05/16/2007
Last updated 05/31/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • KS License #: LP03007
  • MO License #: 2004021723
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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