| Mercy Clinic Springfield Communities | |
|
2030 S National Ave Suite 105 Springfield MO 65804-2222 | |
| (417) 820-9590 | |
| (417) 820-9592 |
| Full Name | Mercy Clinic Springfield Communities |
|---|---|
| Speciality | Psychologist |
| Location | 2030 S National Ave, Springfield, Missouri |
| Authorized Official Name and Position | Donn E. Sorensen (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic Springfield Communities Po Box 2580 Springfield MO 65801-2580 Ph: (417) 829-4620 | Mercy Clinic Springfield Communities 2030 S National Ave Suite 105 Springfield MO 65804-2222 Ph: (417) 820-9590 |
| NPI Number | 1962449447 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962449447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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