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General NPI Number Information
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NPI Number | 1396824330
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Entity Type | Organization
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Legal Business Name | WILSON & MCCABE PSYCHOLOGICAL COUNSELING & CONSULTING INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6220 BLUE RIDGE CUTOFF SUITE 206
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City | KANSAS CITY
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State | MO
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Zip | 64133-7505
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Country | US
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Telephone | 816-358-8808
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Fax | 816-358-8802
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Provider Business Mailing Address
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Address Line | 6220 BLUE RIDGE CUTOFF SUITE 206
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City | KANSAS CITY
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State | MO
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Zip | 64133-7505
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Country | US
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Telephone | 816-358-8808
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Fax | 816-358-8802
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Authorized Official
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Title or Position | PSYCHOLOGIST AND OWNER
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Name | DR. JEAN M MCCABE
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Credential | PHD
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Telephone | 816-358-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1294
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License Number State | MO
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