NPI | 1235184243 |
---|---|
Doing Business As | FOREST INSTITUTE CLINIC |
Entity Type | Organization |
Authorized Contact | JENNIFER BAKER Clinic Director 417-893-7994 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2004033841) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2014-09-29 |