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Individual
WAYNE C PIERSEL
Active
Individual
WAYNE C PIERSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD PSYCHOLOGY
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1051
KS
103TB0200X
Cognitive & Behavioral Psychologist
1051
KS
103TC0700X
Clinical Psychologist
1051
KS
103TC1900X
Counseling Psychologist
1051
KS
103TC2200X
Clinical Child & Adolescent Psychologist
1051
KS
103TF0000X
Family Psychologist
1051
KS
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1051
KS
103TS0200X
School Psychologist
1051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119040
BCBS
KS
01
—
12555
PHS
KS
Enumeration date
10/05/2006
Last updated
09/05/2007
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