NPI | 1194850859 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID MURRELL Director 417-881-1580 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2002032352) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO PYO1215) |
103TC0700X Psychologist, Clinical (Licence: MO PYO1874) | |
103TC0700X Psychologist, Clinical (Licence: MO PYO1137) | |
103TC0700X Psychologist, Clinical (Licence: MO PYO029922) | |
305S00000X Point of Service (Licence: MO PYO1874) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2025-09-11 |