DR. DEIRDRE LYNNE WILSON ED.D. NPI 1053566612

NPI Information

NPI: 1053566612
Provider Name: DR. DEIRDRE LYNNE WILSON, ED.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
425 72ND AVE NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 584-8768
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DR. Deirdre Lynne Wilson, ED.D. is a mental health counselor in Olympia, WA. DR. Deirdre Lynne Wilson, ED.D. NPI is 1053566612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

425 72ND AVE NE
OLYMPIA, WA
ZIP 98506-704
Phone: (360) 584-8768
Fax: (360) 352-7319

The enumeration date for this NPI number is 11/24/2008 and was last updated on 7/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		LF 00001700	WASHINGTON	No
2	101YM0800X	Counselor	Mental Health	LH 00006448	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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