Organization · Type 2 NPI
PRC Enterprises
Intellectual & Developmental Disabilities Psychologist · Poplar Bluff, MO
NPI number
1508925025
Active
Practice location
650 Vine St
Poplar Bluff, MO 63901-5039
Fax (573) 785-4887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 14078480 (MO) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
2 other providers at this address
About NPI 1508925025
PRC Enterprises's National Provider Identifier is 1508925025, issued on Dec 8, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jun 12, 2008.