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MATTHEW WILSON LLC NPI 1871767475


NPI Information

NPI: 1871767475
Provider Name: MATTHEW WILSON LLC

Doing Business As: MATTHEW WILSON, M.D.

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
621 S NEW BALLAS RD
TOWER A, SUITE 398
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-7720
Get Directions

MATTHEW WILSON LLC is a psychiatry psychiatry neurology in Saint Louis, MO. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MATTHEW WILSON LLC NPI is 1871767475. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Matthew Wilson, M.d..

The provider's business location address is:

621 S NEW BALLAS RD
TOWER A, SUITE 398
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-7720
Fax: (314) 251-7722

The provider's authorized official is Matthew Stewart Wilson .
The authorized official title is Member and has the following contact phone number (314) 251-7720.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry2008006048MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11649392796OTHERMISSOURINPI MATTHEW S. WILSON MD

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

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