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WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC NPI 1891237434


NPI Information

NPI: 1891237434
Provider Name: WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
118 S SEMINARY ST
COLLINSVILLE, IL
ZIP 62234
Phone: (618) 855-8815
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WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC is a prescribing (medical) psychologist in Collinsville, IL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. WYLIE & ASSOCIATES BEHAVIORAL HEALTH LLC NPI is 1891237434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 S SEMINARY ST
COLLINSVILLE, IL
ZIP 62234-634
Phone: (618) 855-8815

The provider's authorized official is Melanie Ann Wylie .
The authorized official title is Apn Manager and has the following contact phone number (618) 593-0134.

The enumeration date for this NPI number is 11/14/2016 and was last updated on 11/14/2016.


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
1103TP0016XPsychologistPrescribing (Medical)209005228ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11083735443OTHERILLINOISINDIVIDUAL NPI MELANIE WYLIE

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: 5/5/2024

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