PAUL WICKERSHAM M.S. L.P.C. NPI 1497153977

NPI Information

NPI: 1497153977
Provider Name: PAUL WICKERSHAM, M.S., L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1675 E SEMINOLE ST
SUITE H-2
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 812-5263
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Paul Wickersham, M.S., L.P.C. is a professional counselor in Springfield, MO. Paul Wickersham, M.S., L.P.C. NPI is 1497153977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1675 E SEMINOLE ST
SUITE H-2
SPRINGFIELD, MO
ZIP 65804-490
Phone: (417) 812-5263

The enumeration date for this NPI number is 12/15/2014 and was last updated on 12/15/2014.

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	101YP2500X	Counselor	Professional	2002020617	MISSOURI	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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