Shannon Marie Johnson Wilder, PHD - Psychologist in Topeka, KS

Shannon Marie Johnson Wilder, PHD is a Psychologist - Clinical based in Topeka, Kansas. Shannon Marie Johnson Wilder is licensed to practice in Wisconsin (license number 377657) and her current practice location is 2200 Sw Gage Blvd, Topeka, Kansas. She can be reached at her office (for appointments etc.) via phone at (785) 350-3111.

NPI number for Shannon Marie Johnson Wilder is 1972131621 and her current mailing address is 2200 Sw Gage Blvd, Topeka, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972131621.

Contact Information

Shannon Marie Johnson Wilder, PHD
2200 Sw Gage Blvd,
Topeka, KS 66622-0001
(785) 350-3111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Marie Johnson Wilder
GenderFemale
SpecialityPsychologist - Clinical
Location2200 Sw Gage Blvd, Topeka, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972131621
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 03/30/2020

Medical Identifiers

Medical identifiers for Shannon Marie Johnson Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972131621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 377657 (Wisconsin)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. Shannon Marie Johnson Wilder 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 AddressPractice Location Address
Shannon Marie Johnson Wilder, PHD
2200 Sw Gage Blvd,
Topeka, KS 66622-0001

Ph: () -
Shannon Marie Johnson Wilder, PHD
2200 Sw Gage Blvd,
Topeka, KS 66622-0001

Ph: (785) 350-3111

Reviews and Comments


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