Individual
DR. DEANNA M WOLF
Active
Individual
DR. DEANNA M WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2007038811
MO
103TC0700X
Clinical Psychologist
Primary
2007038811
MO
103TF0200X
Forensic Psychologist
2007038811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494204001
—
MO
Enumeration date
04/19/2010
Last updated
03/31/2026
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