Wilson, Lisa Diane

Wilson, Lisa Diane is an individual health care provider with primary practice located at 21350 W 153Rd St , Olathe KS 66061-5413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Lisa Diane can be contacted via phone (913) 322-2400.

Contact Information

Primary practice address
21350 W 153Rd St Olathe KS 66061-5413
Phone: (913) 322-2400
Fax: (913) 621-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X T-LP1703 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP03197 Kansas

Profile Details

NPI number 1881878916
LBN Legal business name Wilson, Lisa Diane
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2007
Last updated Jan 18th, 2023 - about 2 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.

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