Individual
DR. ALLISON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1200 E WOODHURST DR STE T300, SPRINGFIELD, MO 65804-3784
(417) 766-4400
Mailing address
1200 E WOODHURST DR STE T300, SPRINGFIELD, MO 65804-3784
(417) 766-4400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2006016159
MO
103T00000X
Psychologist
3808
AZ
Other
Enumeration date
07/19/2006
Last updated
10/21/2020
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