| Executive Psychological Resources | |
|
505 W 2nd St Joplin MO 64801-2630 | |
| (417) 501-4960 | |
| (417) 553-7581 |
| Full Name | Executive Psychological Resources |
|---|---|
| Speciality | Psychologist |
| Location | 505 W 2nd St, Joplin, Missouri |
| Authorized Official Name and Position | Amykay Cole (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4172913315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Psychological Resources 505 W 2nd St Joplin MO 64801-2630 Ph: (417) 501-4960 | Executive Psychological Resources 505 W 2nd St Joplin MO 64801-2630 Ph: (417) 501-4960 |
| NPI Number | 1356878060 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356878060 | NPI | - | NPPES |
| 1487602371 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1858 (Missouri) | Primary |
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