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Contact Information

PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
175 S. MARSHALL
SUITE G
ROGERSVILLE, MO65742
 Phone: 417-753-1963
 Fax: 417-753-9405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC

NPI Number 1366790941
LBN Legal business name PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, LLC
Authorized official DAWN HUBER - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2012
Last updated 08/29/2012 - About 14 years ago
Identifiers
MO License # 2008011433
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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