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FAMILY PSYCHOLOGY OF SPRINGFIELD LLC NPI 1790919165


NPI Information

NPI: 1790919165
Provider Name: FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC
Classification: Psychologist - 103TF0000X
Entity Type: Organization

Specialization: Family

Address:
2053 S WAVERLY AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 886-8262
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FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC is a family psychologist in Springfield, MO. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. FAMILY PSYCHOLOGY OF SPRINGFIELD, LLC NPI is 1790919165. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2053 S WAVERLY AVE
SPRINGFIELD, MO
ZIP 65804-414
Phone: (417) 886-8262
Fax: (417) 886-8109

The provider's authorized official is Deborah L Cox .
The authorized official title is Psychologist/owner and has the following contact phone number (417) 886-8262.

The enumeration date for this NPI number is 5/13/2009 and was last updated on 6/30/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0000XPsychologistFamilyPYRO495MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000022169MEDICARE UPINMISSOURI
211801084OTHERMISSOURICAQH

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

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