| NPI | 1639254600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOYER STEVENS Clinical Psychologist 573-480-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2004013642) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |