| Jennifer C. Bouwkamp-memmer, Phd, Llc | |
|
5209 Mexico Gravel Rd Columbia MO 65202-6915 | |
| (573) 356-5045 | |
| Not Available |
| Full Name | Jennifer C. Bouwkamp-memmer, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5209 Mexico Gravel Rd, Columbia, Missouri |
| Authorized Official Name and Position | Jennifer C. Bouwkamp-memmer (SOLE MEMBER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5733565045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer C. Bouwkamp-memmer, Phd, Llc 5209 Mexico Gravel Rd Columbia MO 65202-6915 Ph: (573) 356-5045 | Jennifer C. Bouwkamp-memmer, Phd, Llc 5209 Mexico Gravel Rd Columbia MO 65202-6915 Ph: (573) 356-5045 |
| NPI Number | 1093041683 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093041683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2008034834 (Missouri) | Primary |
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