| NPI | 1801147863 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT F INGEGNERI Licensed Psychologist 417-667-4230 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 01727) | 
| Enumeration Date | 2012-09-30 | 
| Last Update Date | 2012-09-30 |