| Sylvia B Mcqueary, L.l.c. | |
|
201 S Killingsworth Bolivar MO 65613 | |
| (417) 619-8874 | |
| Not Available |
| Full Name | Sylvia B Mcqueary, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 201 S Killingsworth, Bolivar, Missouri |
| Authorized Official Name and Position | Sylvia Bare Mcqueary (OWNER) |
| Authorized Official Contact | 4176198874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvia B Mcqueary, L.l.c. Po Box 963 Bolivar MO 65613-0963 Ph: (417) 619-8874 | Sylvia B Mcqueary, L.l.c. 201 S Killingsworth Bolivar MO 65613 Ph: (417) 619-8874 |
| NPI Number | 1912341603 |
|---|---|
| Provider Enumeration Date | 04/24/2013 |
| Last Update Date | 04/24/2013 |
| Medicare PECOS PAC ID | 3779721816 |
|---|---|
| Medicare Enrollment ID | O20130530000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912341603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sylvia B Mcqueary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457491490 PECOS PAC ID: 0345343950 Enrollment ID: I20070319000497 |
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