| Wellness Company Ii | |
|
300 W Cherry St Nevada MO 64772-2202 | |
| (417) 667-4230 | |
| Not Available |
| Full Name | Wellness Company Ii |
|---|---|
| Speciality | Psychologist |
| Location | 300 W Cherry St, Nevada, Missouri |
| Authorized Official Name and Position | Robert F Ingegneri (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4176674230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Company Ii 300 W Cherry St Nevada MO 64772-2202 Ph: () - | Wellness Company Ii 300 W Cherry St Nevada MO 64772-2202 Ph: (417) 667-4230 |
| NPI Number | 1801147863 |
|---|---|
| Provider Enumeration Date | 09/30/2012 |
| Last Update Date | 09/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801147863 | NPI | - | NPPES |
| 000959100 | Other | MO | CTS PROVIDER NUMBER |
| 23833053 | Other | MO | BLUE CROSS/ BLUE SHIELD |
| 498039718 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 01727 (Missouri) | Primary |
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