Williams, Brenda Wiegand
Williams, Brenda Wiegand is an individual health care provider with primary practice located at 3800 S National Ave Ste 770 , Springfield MO 65807-5283. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Williams, Brenda Wiegand can be contacted via phone (417) 269-6891.Contact Information
Primary practice address
3800 S National Ave Ste 770
Springfield MO 65807-5283
Phone: (417) 269-6891
Fax: (417) 269-5595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 702 | Kansas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | R0440 | Missouri |
Profile Details
| NPI number | 1487780292 |
|---|---|
| LBN Legal business name | Williams, Brenda Wiegand |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Feb 7th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487780292 | NPPES |
| Missouri | MEDICAID | 499679207 | |
| Missouri | Other | 132439 |
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