Organization · Type 2 NPI

Moonshine Ridge Psychology

Clinical Psychologist · Collins, MO

NPI number 1659204469 Active

Practice location

7840 SE 701 Rd
Collins, MO 64738-7129

Mailing address

3915 Lloyd St
Kansas City, KS 66103-2828

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1659204469

Moonshine Ridge Psychology's National Provider Identifier is 1659204469, issued on Jun 3, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Collins, MO. The record was last updated on Jun 18, 2026.