| Center Of Change, L.l.c. | |
|
636 W Republic Rd C116 Springfield MO 65807-5818 | |
| (417) 888-0886 | |
| (417) 888-0846 |
| Full Name | Center Of Change, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 636 W Republic Rd, Springfield, Missouri |
| Authorized Official Name and Position | Amy L. Meriweather (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4178880886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Change, L.l.c. 636 W Republic Rd C116 Springfield MO 65807-5818 Ph: (417) 888-0886 | Center Of Change, L.l.c. 636 W Republic Rd C116 Springfield MO 65807-5818 Ph: (417) 888-0886 |
| NPI Number | 1508169756 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508169756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY01872 (Missouri) | Primary |
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