MARY M. DICK MD LLC NPI 1396001723

NPI Information

MARY M. DICK, MD LLC is an adult mental health clinic center in Columbia, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARY M. DICK, MD LLC NPI is 1396001723. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mary M. Dick, Inc.

The provider's business location address is:

2100 E BROADWAY
SUITE 325
COLUMBIA, MO
ZIP 65201-082
Phone: (573) 449-5800
Fax: (573) 693-4190

The provider's authorized official is Mary Margaret Dick .
The authorized official title is Owner and has the following contact phone number (573) 449-5800.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 4/10/2012.

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:

Other Identifiers

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