| NPI | 1982895595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON AXSOM Psychologist/Owner 417-399-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 2006006562) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2003032059) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2011-05-17 |