Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie Johnson Wilder, PHD

Individual provider Clinical Psychologist · NPI 1972131621

Shannon Marie Johnson Wilder, PHD is a Clinical Psychologist in Topeka, Kansas. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone: (785) 350-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 377657 (WI)

Record details

NPI number1972131621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

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