| NPI | 1447590104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD SPOONER Licensed Psychologist 417-326-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2006034106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2002023735) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-09-25 |