| Psychological Associates Of Southwest Missouri, Llc | |
|
1110 W Harmony St Ste D Neosho MO 64850-1638 | |
| (417) 455-5875 | |
| Not Available |
| Full Name | Psychological Associates Of Southwest Missouri, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1110 W Harmony St Ste D, Neosho, Missouri |
| Authorized Official Name and Position | Morgan Williams (OWNER/DIRECTOR) |
| Authorized Official Contact | 4174555875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Of Southwest Missouri, Llc Po Box 5609 Bella Vista AR 72714-0609 Ph: (417) 455-5875 | Psychological Associates Of Southwest Missouri, Llc 1110 W Harmony St Ste D Neosho MO 64850-1638 Ph: (417) 455-5875 |
| NPI Number | 1508015371 |
|---|---|
| Provider Enumeration Date | 09/16/2008 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 2466501135 |
|---|---|
| Medicare Enrollment ID | O20090529000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508015371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2002030466 (Missouri) | Primary |
| Provider Name | Morgan E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447387238 PECOS PAC ID: 8820050123 Enrollment ID: I20041029000171 |
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