Wylie & Associates Behavioral Health Llc | |
118 S Seminary St Collinsville IL 62234-2634 | |
(618) 855-8815 | |
Not Available |
Full Name | Wylie & Associates Behavioral Health Llc |
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Speciality | Psychologist - Prescribing (medical) |
Location | 118 S Seminary St, Collinsville, Illinois |
Authorized Official Name and Position | Melanie Ann Wylie (APN MANAGER) |
Authorized Official Contact | 6185930134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wylie & Associates Behavioral Health Llc 118 Seminary Street Collinsville IL 62234 Ph: (618) 855-8815 | Wylie & Associates Behavioral Health Llc 118 S Seminary St Collinsville IL 62234-2634 Ph: (618) 855-8815 |
NPI Number | 1891237434 |
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Provider Enumeration Date | 11/14/2016 |
Last Update Date | 11/14/2016 |
Identifier | Type | State | Issuer |
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1891237434 | NPI | - | NPPES |
1083735443 | Other | IL | INDIVIDUAL NPI MELANIE WYLIE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | 209005228 (Illinois) | Primary |
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