| NPI | 1174700868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET HURT Psychologist 573-776-6236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2000159807) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO cs 000587) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2013-10-08 |