State of Missouri
State of Missouri is a Rehabilitation Psychologist in Jefferson City, Missouri. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1706 E Elm StJefferson City, MO 65101-4130
Phone: (573) 751-3398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Psychologist (primary) | Taxonomy 103TR0400X |
|---|
Record details
| NPI number | 1578199238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Missouri |
| Authorized official | Molly Boeckmann — Director Of Administrative Services · (573) 751-4055 |
| Other names | Cpr Youth; Cpr Youth |
| NPI enumerated | March 13, 2020 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | Po Box 687, 1706 E Elm St, Jefferson City, MO 65102-0687 |
Other providers in Jefferson City
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State of Missouri
1706 E Elm St, Jefferson City, MO 65101 · (573) 751-3398