| NPI | 1528498334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J DOXSEE Director 573-474-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2000174615) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |