| NPI | 1396020095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE M COURTNEY Licensed Psychologist 417-888-0861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2010032220) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |