| NPI | 1194850859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID MURRELL Director 417-881-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO PYO1215) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PYO1874) |
| 103TC0700X Psychologist, Clinical (Licence: MO PYO1137) | |
| 103TC0700X Psychologist, Clinical (Licence: MO PYO029922) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2002032352) | |
| 305S00000X Point of Service (Licence: MO PYO1874) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |