Wilder, Shannon Marie Johnson

Wilder, Shannon Marie Johnson is an individual health care provider with primary practice located at 2200 Sw Gage Blvd , Topeka KS 66622-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilder, Shannon Marie Johnson can be contacted via phone (785) 350-3111.

Contact Information

Primary practice address
2200 Sw Gage Blvd Topeka KS 66622-0001
Phone: (785) 350-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 377657 Wisconsin

Profile Details

NPI number 1972131621
LBN Legal business name Wilder, Shannon Marie Johnson
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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