Lookup NPI Numbers from the NPI Registry
NPI Profile for WILDWOOD COTTAGE in RAYTOWN, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI # | 1770757841 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/18/2008 | |
| Last updated | 04/20/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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WILDWOOD COTTAGE
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WILDWOOD COTTAGE