MRS. SANDRA KAY WHEETLEY L.P.C. - NPI 1104190511

Q: What is Sandra Wheetley's NPI number?

The NPI number for Sandra Wheetley is 1104190511. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Q: What is Sandra Wheetley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Wheetley was last updated on September 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Sandra Kay Wheetley L.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SANDRA KAY WHEETLEY L.P.C. (NPI 1104190511) is an individual professional provider in Poplar Bluff, Missouri, licensed in Missouri (002735) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1104190511

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. SANDRA KAY WHEETLEYCredential: L.P.C.

Location Address101 S MAIN STPoplar Bluff, MO 63901-5843

Mailing Address1526 West Business Hwy 60Dexter, MO 63841 · (573) 624-6937

Phone(573) 624-6937

Sole ProprietorYes

Enumeration DateMarch 2, 2012

Last NPPES UpdateSeptember 27, 2012

✔ NPI 1104190511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MO · 002735

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License 002735 (MO)

101 S MAIN ST, Poplar Bluff, MO 63901

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLIE PATTY LPN

Licensed Practical Nurse