Amy Renee Wilson, PSYD is a
Psychologist - Clinical based in Saint Louis, Missouri. Amy Renee Wilson is licensed to practice in Colorado (license number 13829) and her current practice location is
1167 Corporate Lake Dr, Saint Louis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 968-2350.
NPI number for Amy Renee Wilson is 1972812840 and her current mailing address is 1167 Corporate Lake Dr, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972812840.
Healthcare Provider's Profile
| Full Name | Amy Renee Wilson |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1167 Corporate Lake Dr, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972812840
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 07/01/2021
Medical Identifiers
Medical identifiers for Amy Renee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972812840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (NU) | Secondary |
| 103T00000X | Psychologist | (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 13829 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Renee Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amy Renee Wilson, PSYD 1167 Corporate Lake Dr, Saint Louis, MO 63132-1716 Ph: Not Available | Amy Renee Wilson, PSYD 1167 Corporate Lake Dr, Saint Louis, MO 63132-1716 Ph: (314) 968-2350 |
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