Individual
ANDREW PETER WISLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2018036029
MO
Other
Enumeration date
09/25/2018
Last updated
03/12/2019
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