| NPI | 1689721698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI MICHELLE MANNA Clinical Psychologist 417-335-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PYO1867) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-03-25 |