| NPI | 1992971675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L. WILLIS-CENTER Clinical Psychologist 417-440-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2008007986) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |