KASEY GRASS PHD LLC

SPRINGFIELD, MO
NPI1942550322
Entity TypeOrganization
Authorized ContactKASEY NICOLE GRASS
Owner/Psychologist
501-993-2274
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: MO  2011019654)
Enumeration Date2012-09-13
Last Update Date2012-11-15
Business Address
KASEY GRASS PHD LLC
2401 W GRAND ST
SPRINGFIELD, MO 65802-4967
Phone number: 501-993-2274
Mailing Address
KASEY GRASS PHD LLC
2761 E MELBOURNE RD
SPRINGFIELD, MO 65804-5257
Phone number: 501-993-2274