# WAYNE C PIERSEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457448201
- **Gender:** Man
- **Credential:** PHD PSYCHOLOGY

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1051 | KS | Yes |
| 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

- **Enumeration date:** 10/05/2006
- **Last updated:** 09/05/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 119040 | BCBS | KS |
| 01 | — | 12555 | PHS | KS |