| NPI | 1851910335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CRAWFORD-THOMPSON Licensed Clinical Psychologist 573-818-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |