| NPI | 1013224575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNNE HOLLIDAY Manager 417-882-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008004866) |
| Enumeration Date | 2010-09-06 |
| Last Update Date | 2010-09-06 |