| Southeast Missouri State University Autism Center | |
|
611 N. Fountain St. Cape Girardeau MO 63701-7244 | |
| (573) 986-4985 | |
| (573) 986-4994 |
| Full Name | Southeast Missouri State University Autism Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 611 N. Fountain St., Cape Girardeau, Missouri |
| Authorized Official Name and Position | Diana Rogers-adkinson (DEAN) |
| Authorized Official Contact | 5736512408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Missouri State University Autism Center 1 University Plaza Mail Stop 9450 Cape Girardeau MO 63701-4710 Ph: (573) 986-4985 | Southeast Missouri State University Autism Center 611 N. Fountain St. Cape Girardeau MO 63701-7244 Ph: (573) 986-4985 |
| NPI Number | 1316261621 |
|---|---|
| Provider Enumeration Date | 03/16/2010 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316261621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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