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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 Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHERYL R LIST · (Female)

NPI # 1053317891
Status Active
Credentials PHD, LP
Entity Individual
Enumeration date 06/27/2005
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000159808
  • MO Medicaid 495004905
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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