Search › Missouri › 103TC0700X
Justin Wiseman, PSY.D
NPI 1073159539 · on the registry since 2019
Practice
- Address
- 401 E 19th St Apt 1405
Kansas City, MO 64108 - Phone
- (314) 255-9594
Additional practice sites
- 303 N Stadium Blvd Ste 200, Columbia, MO
- 600 E 5th St, Fulton, MO
- 1300 Metropolitan Ave, Leavenworth, KS
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri