MS. JONNIE MAE MIDDLETONLOTTE PH.D NPI 1184813784

NPI Information

NPI: 1184813784
Provider Name: MS. JONNIE MAE MIDDLETONLOTTE, PH.D
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1736 E SUNSHINE ST STE 510
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 770-3309
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MS. Jonnie Mae Middletonlotte, PH.D is a professional counselor in Springfield, MO. MS. Jonnie Mae Middletonlotte, PH.D NPI is 1184813784. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1736 E SUNSHINE ST STE 510
SPRINGFIELD, MO
ZIP 65804-331
Phone: (417) 770-3309
Fax: (417) 771-5269

The enumeration date for this NPI number is 10/18/2007 and was last updated on 9/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2007020570	MISSOURI	No
2	101YP2500X	Counselor	Professional	2007020570	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1184813784	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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