Deana L S Wilson, PSYD is a
Psychologist - Clinical based in Oak Creek, Wisconsin. Deana L S Wilson is licensed to practice in Wisconsin (license number 2920) and her current practice location is
420 E Quail Run, Oak Creek, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 303-5465.
NPI number for Deana L S Wilson is 1891955274 and her current mailing address is Po Box 766, Oak Creek, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891955274.
Healthcare Provider's Profile
| Full Name | Deana L S Wilson |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 420 E Quail Run, Oak Creek, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891955274
- Provider Enumeration Date: 06/10/2008
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Deana L S Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891955274 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 4085 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2920-57 (Wisconsin) | Secondary |
| 103TH0004X | Psychologist - Health | 2920 (Wisconsin) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2920 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deana L S Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deana L S Wilson, PSYD
Po Box 766,
Oak Creek, WI 53154-0766
Ph: (414) 303-5465 | Deana L S Wilson, PSYD
420 E Quail Run,
Oak Creek, WI 53154-5792
Ph: (414) 303-5465 |
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