| Coxhealth Psychological Services | |
|
3525 S National Ave Ste 206 Springfield MO 65807-7315 | |
| (417) 269-6891 | |
| (417) 269-5595 |
| Full Name | Coxhealth Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 3525 S National Ave Ste 206, Springfield, Missouri |
| Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) |
| Authorized Official Contact | 4172694368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Psychological Services Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | Coxhealth Psychological Services 3525 S National Ave Ste 206 Springfield MO 65807-7315 Ph: (417) 269-6891 |
| NPI Number | 1770139735 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770139735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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