| Doctor Name: | MISS PIPER D WILSON |
| NPI Number: | 1427377480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., P.L.P.C. |
| License Number: | 2010015694 |
| Business Practice Address: | 380 E State Highway Cc Suite A 105 Nixa, MO - 657147337 |
| Business Phone Number: | 4177258810 |
| Business Fax Number: | 4177256206 |
| Mailing Address: | 380 E State Highway Cc, Suite A 105 NIXA |
| State: | MO |
| Postal Code: | 657147337 |
| Phone Number: | 4177258810 |
| Fax Number: | 4177256206 |
| NPI Enumeration Date: | 05/28/2010 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2010015694 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |