Dr Lisa Diane Wilson, PSYD | |
21350 W 153rd St, Olathe, KS 66061-5413 | |
(913) 322-2400 | |
(913) 621-5730 |
Full Name | Dr Lisa Diane Wilson |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 21350 W 153rd St, Olathe, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881878916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | T-LP1703 (Kansas) | Secondary |
103TC0700X | Psychologist - Clinical | LP03197 (Kansas) | Primary |
Entity Name | Deer Oaks Mental Health Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20151215001150 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Diane Wilson, PSYD 11642 Garnett St, Overland Park, KS 66210-3435 Ph: (913) 370-6541 | Dr Lisa Diane Wilson, PSYD 21350 W 153rd St, Olathe, KS 66061-5413 Ph: (913) 322-2400 |
Shadow Love, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1125 W Spruce St, Olathe, KS 66061 Phone: 913-826-4200 | |
Mrs. Martha K Oneal, MSW LSCSW Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11741 S Roundtree, #103, Olathe, KS 66061 Phone: 913-780-1002 Fax: 913-780-1006 | |
Mrs. Laura Eickman, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11695 S Blackbob Rd, Suite B, Olathe, KS 66062 Phone: 913-768-6606 Fax: 913-768-6609 | |
Erica Lee Alfano, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 S Cherry St Ste 202, Olathe, KS 66061 Phone: 913-709-6442 | |
Michelle Abella, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17795 W 106th St Ste 202, Olathe, KS 66061 Phone: 913-296-0712 Fax: 913-273-0801 | |
Kelsey Moffitt-carney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 E Cedar St, Olathe, KS 66061 Phone: 913-393-3828 | |
Dr. Todd A Bowman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2030 E College Way, 231 Metz Hall- Counsleor Education, Olathe, KS 66062 Phone: 913-971-3735 |