| NPI | 1568460426 | 
|---|---|
| Doing Business As | SCHOOL OF HEALTH PROFESSIONS | 
| Entity Type | Organization | 
| Authorized Contact | CHRIS SCHENEWERK Revene Management 573-882-3757  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 990000805)  | 
| Enumeration Date | 2005-07-13 | 
| Last Update Date | 2007-10-08 |