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NPI Code Detail

MEDICARE: DR. WENDY WYONE DAWSON PHD, LP

MEDICARE:  DR. WENDY WYONE DAWSON  PHD, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2006006563MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861711251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY WYONE DAWSON PHD, LP
Provider Business Mailing Address
First Line : 2885 W BATTLEFIELD ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-3952
Country : US
Telephone Number : 417-761-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4480 GRETNA RD
Second Line :
City : BRANSON
State : MO
Zip : 65616-7202
Country : US
Telephone Number : 417-761-5492
Fax Number : 417-336-1204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2010
Last Update Date : 09/17/2025

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