John Richard Spooner in Bolivar - Clinical
John Richard Spooner - NPI 1750351409
John Richard Spooner is a Clinical in Bolivar, Missouri. John Richard Spooner practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Richard Spooner is 1750351409. The last update date is 2013-09-18.
John Richard Spooner's current location address is 2085 S Boston Pl, Bolivar, Missouri. You can contact this provider via phone number 4173262418 and fax number 4173262419. The mailing address for John Richard Spooner is 2085 S Boston Pl, Bolivar, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Richard Spooner |
|---|---|
| Address | 2085 S Boston Pl, Bolivar, Missouri |
| Phone Number | 4173262418 |
| Fax Number | 4173262419 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1750351409 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2013-09-18 |
Provider Mailing Address Detail
| Address | 2085 S Boston Pl |
|---|---|
| City | Bolivar |
| State | Missouri (MO) |
| Post Code | 656132871 |
| Phone Number | 4173262418 |
| Fax Number | 4173262419 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2006034106 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495966319 | MO | -- | |
| 193564 | MO | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Richard Spooner by the Centers for Medicare & Medicaid Services?
The John Richard Spooner has been assigned the NPI (National Provider Identifier) 1750351409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of John Richard Spooner?
The John Richard Spooner is physically situated at 2085 S Boston Pl, in the city of Bolivar, state of MO, with the postal code 656132871.
What is John Richard Spooner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Richard Spooner is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the John Richard Spooner receive the assignment of its 1750351409 from the Centers for Medicare & Medicaid Services?
The John Richard Spooner was issued its 1750351409 by the Centers for Medicare & Medicaid Services on 2006-01-25.
When was the information regarding John Richard Spooner most recently updated?
The details pertaining to the John Richard Spooner, including its address, specialty, and other relevant information, were last refreshed on 2013-09-18.