| NPI | 1669805826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GRANT JONES Neuropsychologist 417-880-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO 2013020719) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2013020719) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2013015422) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2021-05-24 |