SearchMissouri103TC0700X

Danica Wailes, PSYD

NPI 1649649245 · on the registry since 2015 · sole proprietor

Practice

Address
192 Expressway Ln Ste 240
Branson, MO 65616
Phone
(417) 597-4309

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri