| NPI | 1326279654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDREW BLANSETT President 417-886-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PYRO336) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MO PYRO336) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO PYRO336) | |
| 103TF0200X Psychologist, Forensic (Licence: MO PYRO336) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MO PYRO336) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |