MR. BRADY EVAN CLEVENGER MS PLPC NPI 1720049471

NPI Information

NPI: 1720049471
Provider Name: MR. BRADY EVAN CLEVENGER, MS PLPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2914 E 32ND ST
SUITE 308
JOPLIN, MO
ZIP 64804
Phone: (417) 624-8333
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MR. Brady Evan Clevenger, MS PLPC is a professional counselor in Joplin, MO. MR. Brady Evan Clevenger, MS PLPC NPI is 1720049471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2914 E 32ND ST
SUITE 308
JOPLIN, MO
ZIP 64804-402
Phone: (417) 624-8333
Fax: (417) 624-0349

The enumeration date for this NPI number is 3/31/2006 and was last updated on 7/8/2007.

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	101YP2500X	Counselor	Professional	2005036369	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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