Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JILLON S. VANDER WAL
ActiveDR. JILLON S. VANDER WAL is a Clinical Psychologist healthcare provider located in KANSAS CITY, Missouri. NPI 1467669960 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · KANSAS CITY, MO
Registration Details
- NPI Number
- 1467669960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.103976974741 yrs)
- Last Updated
- May 31, 2022
- Licenses
-
2004021723 (MO)LP03007 (KS)2004021723 (MO)LP03007 (KS)2004021723 (MO)
Practice Information
- Address
-
4801 E LINWOOD BLVDKANSAS CITY, MO, 641282226Browse MO providers · Browse ZIP 64128
- Phone
- 8168614700
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Health Service Psychologist
- Additional Specialty
- Health Service Psychologist
Other Clinical Psychologist Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MARY JANE HARMLESS | PH.D. | 1770589632 |
| MR. JOHN MICHAEL WUBBENHORST SR. | MS | 1245226745 |
| RAPHAEL G SMITH | PSY D, HSPP | 1093792392 |
| DR. REX WARREN BULL | PH.D. | 1013995075 |
| DR. ROSEANNE MARIE MIDDLETON | PH.D. | 1699737346 |
| CHERYL J BAIRD | MS | 1114980091 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.