| NPI | 1205098720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD OLIVER Dean 573-884-6705 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 174400000X Specialist |
| 235Z00000X Speech-Language Pathologist, | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |