Wingo, Kathy A.

Wingo, Kathy A. is an individual health care provider with primary practice located at 1111 S Glenstone Ave Suite 201, Springfield MO 65804-0313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wingo, Kathy A. can be contacted via phone (417) 862-8282.

Contact Information

Primary practice address
1111 S Glenstone Ave Suite 201 Springfield MO 65804-0313
Phone: (417) 862-8282
Fax: (417) 862-8805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001415 Missouri
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2000143809 Missouri

Profile Details

NPI number 1538219464
LBN Legal business name Wingo, Kathy A.
Credentials ED.D., L.P.C.,L.M.F.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538219464 NPPES
Missouri Other 169563 BCBS PROVIDER NUMBER

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