| NPI | 1609474741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE P HOOPER CEO 573-363-4356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TF0200X Psychologist Forensic | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-03-30 |