WILFRED WALLANG EBUA (NPI# 1528313947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528313947 |
| Entity Type | Individual |
| Full Name | WILFRED WALLANG EBUA |
| Practice Address |
1905 Arapahoe Ct Greenwood MO 64034-8636 |
| Practice Telephone | 8164191294 |
| Mailing Telephone | 8164191294 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
1905 ARAPAHOE CT |
| City | GREENWOOD |
| State | MO |
| Zip Code | 64034-8636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770754871 | Angels Home Direct Care | Day Training, Developmentally Disabled Services | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2008-03-17 |
| 1356627160 | Clarisse Ekei Ebua | Physical Therapy Assistant | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2011-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740744515 | Danielle Renee Allison | Student in an Organized Health Care Education/Training Program | 1014 Peggy Dr., Greenwood, MO 64034 | 2019-01-25 |
| 1306312723 | Jillian Moore | Dietitian, Registered | 25617 S Harris Rd, Greenwood, MO 64034-8247 | 2018-10-24 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| 1821605643 | Melissa Janea Nyquist | Counselor | 1405 Cypress Dr, Greenwood, MO 64034-8626 | 2020-09-25 |
| 1770769556 | Lindsey Ky Mathews-willbanks | Audiologist | 30311 E Stringtown Rd, Greenwood, MO 64034-8699 | 2008-01-11 |
| 1174783328 | Gina Clouse | Speech-Language Pathologist | 1603 Kimberly Ct, Greenwood, MO 64034-8700 | 2008-06-11 |
| 1497219398 | Kelly Godbey | Student in an Organized Health Care Education/Training Program | 1303 Willow Dr, Greenwood, MO 64034-9110 | 2019-01-24 |
| 1811398670 | Lori Oster | Social Worker | 107 Cayuga Ln, Lake Winnebago, MO 64034-9303 | 2014-09-11 |
| 1063642700 | Shelly D Keller | Social Worker | 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 | 2009-07-15 |
| 1104214295 | Jessica Fitzgerald | Speech-Language Pathologist | 294 N Winnebago Dr, Lake Winnebago, MO 64034-9319 | 2014-12-26 |
| Find all providers in zip 64034 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170165 | Above Expectations LLC | Psychologist | 1714 Nine Foot Rd, Greenwood, DE 19950-2061 | 2020-06-29 |
| 1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105793 | Emily Mirriam Morgan IIi | Psychologist | 1013 Winnie St, Poplar Bluff, MO 63901-6457 | 2020-05-13 |
| 1720565286 | Tonalisha Monique Sullivan | Psychologist | 5730 Garfield Ave, Kansas City, MO 64130-3340 | 2018-07-26 |
| 1871002865 | Denay M Reynolds | Psychologist | 5261 Delmar Blvd Ste 207, Saint Louis, MO 63108-1094 | 2017-09-22 |
| 1770757841 | Wildwood Cottage | Psychologist | 11212 E 71st St, Raytown, MO 64133-6801 | 2008-04-18 |
| 1407026057 | Mary L. Hester | Psychologist | 3128 St. Vincent Ave, St. Louis, MO 63104-1418 | 2008-03-10 |
| 1437327426 | All Action Contractors | Psychologist | 3530 Locust St, Kansas City, MO 64109-2263 | 2008-02-13 |
| 1598988669 | Vera Goodloe Rice | Psychologist | 895 Graham Rd, Florissant, MO 63031-7051 | 2007-04-10 |
| 1225156912 | Maria Renee Carron | Psychologist | 6614 Clayton Rd, #179, Saint Louis, MO 63117-1602 | 2007-03-27 |
| 1699892885 | Michael Arthur Mcleod | Psychologist | 724 Rolfe Dr, Saint Louis, MO 63122-1648 | 2007-03-23 |
| 1811029440 | Nova Center of The Ozarks Inc. | Psychologist | 524 S Union Ave, Springfield, MO 65802-2660 | 2007-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.