Gary L. June, Psyd, Llc | |
125 W State Highway 174 Republic MO 65738-1036 | |
(417) 234-4608 | |
Not Available |
Full Name | Gary L. June, Psyd, Llc |
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Speciality | Psychologist - Clinical |
Location | 125 W State Highway 174, Republic, Missouri |
Authorized Official Name and Position | Gary L June (OWNER) |
Authorized Official Contact | 4172344608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gary L. June, Psyd, Llc 125 W State Highway 174 Republic MO 65738-1036 Ph: (417) 234-4608 | Gary L. June, Psyd, Llc 125 W State Highway 174 Republic MO 65738-1036 Ph: (417) 234-4608 |
NPI Number | 1275807752 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1275807752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 2003030081 (Missouri) | Primary |
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