Organization · Type 2 NPI

State of Missouri

Rehabilitation Psychologist · Jefferson City, MO

NPI number 1447886288 Active

Practice location

1706 E Elm St
Jefferson City, MO 65101

Call (573) 751-3398 Map

Mailing address

PO Box 687, 1706 E Elm St
Jefferson City, MO 65102-0687

Specialties and licenses

Taxonomy	Code	License
Rehabilitation Psychologist Primary	103TR0400X	None listed

Rehabilitation Psychologist: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and adv…

6 other providers at this address

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NPI record

NPI: 1447886288
Entity type: Organization (Type 2)
Issued: Mar 12, 2020
Last updated: Sep 3, 2020
Status: Active
Subpart: Yes of State of Missouri

Other names

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CPR Adult · doing business as
CPR Adult · doing business as

Authorized official

Molly Jane Boeckmann
Director of Administrative Services
(573) 751-4055

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447886288

State of Missouri's National Provider Identifier is 1447886288, issued on Mar 12, 2020. The primary taxonomy on file is Rehabilitation Psychologist (103TR0400X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 3, 2020.