Organization
DR. WADESON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER KAY WADESON PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(701) 541-6400
Entity
Organization
Contact information
Practice address
5133 S CAMPBELL AVE STE 204, SPRINGFIELD, MO 65810-2437
(417) 319-6076
Mailing address
1928 N SEABROOK DR, NIXA, MO 65714
(701) 541-6400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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