| NPI | 1417491788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M DOWNIE Psychologist 417-839-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 01879) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2017-01-17 |