| Dr. Michael S. Londe, Ph.d., Llc | |
|
1704 E 4th St Joplin MO 64801-1807 | |
| (417) 781-2868 | |
| (417) 781-1922 |
| Full Name | Dr. Michael S. Londe, Ph.d., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1704 E 4th St, Joplin, Missouri |
| Authorized Official Name and Position | Michael S Londe (OWNER) |
| Authorized Official Contact | 4177812868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michael S. Londe, Ph.d., Llc 1704 E 4th St Joplin MO 64801-1807 Ph: (417) 781-2868 | Dr. Michael S. Londe, Ph.d., Llc 1704 E 4th St Joplin MO 64801-1807 Ph: (417) 781-2868 |
| NPI Number | 1871984062 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871984062 | NPI | - | NPPES |
| 11629935 | Other | MO | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1175 (Missouri) | Primary |
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