National Provider Identifier Database

CHERYL R LIST, PHD, LP – NPI #1053317891
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

CHERYL R LIST, PHD, LP
1300 E BRADFORD PKWY BLDG B
SPRINGFIELD, MO65804-4264
Phone: 417-269-5400
Fax: 417-269-7212
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for CHERYL R LIST

NPI Number 1053317891
Credentials PHD, LP
Entity Individual
Enumeration date 06/27/2005
Last updated 10/30/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • MO License #: 2000159808
  • MO Medicaid: 495004905
Hospital affiliation n/a

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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