Mrs Sandra J Wilson, MA is a
Psychologist based in De Queen, Arkansas. Mrs Sandra J Wilson is licensed to practice in Arkansas (license number 73-09EI) and her current practice location is
304 W Collin Raye Dr, 103-a, De Queen, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 518-4140.
NPI number for Mrs Sandra J Wilson is 1316906415 and her current mailing address is 1015 E 35th St, Texarkana, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316906415.
Healthcare Provider's Profile
Full Name | Mrs Sandra J Wilson |
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Gender | Female |
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Speciality | Psychologist |
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Location | 304 W Collin Raye Dr, De Queen, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316906415
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 03/23/2024
Medical Identifiers
Medical identifiers for Mrs Sandra J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316906415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 73-9-E (Arkansas) | Secondary |
103T00000X | Psychologist | 73-09EI (Arkansas) | 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. Mrs Sandra J 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 |
Mrs Sandra J Wilson, MA 1015 E 35th St, Texarkana, AR 71854-2745 Ph: (870) 330-4460 | Mrs Sandra J Wilson, MA 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 Ph: (870) 518-4140 |
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