NPI | 1275503310 |
---|---|
Entity Type | Organization |
Authorized Contact | EVELYN M. DARROW President 417-890-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO R0438) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO R0438) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-08-22 |