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Contact Information

EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES, INC
340 KELLEY PKWY
MEXICO, MO65265-3811
 Phone: 573-582-1234
 Fax: 573-582-1212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EAST CENTRAL MISSOURI BEHAVIORAL HEALTH SERVICES INC · (Female)

NPI # 1104980267
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2006
Last updated 09/30/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 5726-7685
  • MO Medicaid 150328110
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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