Individual
DR. RITA RAE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-7034
Mailing address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0298196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856276407
—
MO
Enumeration date
10/03/2007
Last updated
05/22/2020
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