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Contact Information

CRYSTAL S LIM, PhD
ONE HOSPITAL DR
COLUMBIA, MO65212-0001
 Phone: 573-882-1561
 Fax: 573-884-1889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CRYSTAL S LIM · (Female)

NPI # 1356625081
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/29/2011
Last updated 04/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2022015232
  • MO Medicaid 490113666
  • MS Medicaid 05908053
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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