Individual
DR. SARA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2012033737
MO
103TC0700X
Clinical Psychologist
Primary
2012033737
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13659783
CAQH
—
05
—
1437458460
—
MO
Enumeration date
03/16/2011
Last updated
02/27/2026
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