Center Of Change is a Clinical in Springfield, Missouri. Center Of Change practices all healthcare services and medical treatments related to Clinical. The NPI Number for Center Of Change is 1679741144. The last update date is 2008-05-01.
Center Of Change's current location address is 1615a S Ingram Mill Rd, Springfield, Missouri. You can contact this provider via phone number 4178880886 and fax number 4178880846. The mailing address for Center Of Change is 1615a S Ingram Mill Rd, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center Of Change |
|---|---|
| Address | 1615a S Ingram Mill Rd, Springfield, Missouri |
| Phone Number | 4178880886 |
| Fax Number | 4178880846 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO-OWNER |
|---|---|
| Authorized Official Name | Mckenna Suzanne |
| Credentials | PHD |
| Telephone Number | 4178880886 |
NPI Number Detail
| NPI Number | 1679741144 |
|---|---|
| Provider Enumeration Date | 2008-02-18 |
| Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
| Address | 1615a S Ingram Mill Rd |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658042261 |
| Phone Number | 4178880886 |
| Fax Number | 4178880846 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY01825 |
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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 |
|---|---|---|---|
| 508440609 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Center Of Change by the Centers for Medicare & Medicaid Services?
The Center Of Change has been assigned the NPI (National Provider Identifier) 1679741144 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Center Of Change located?
The Center Of Change is located at 1615A S Ingram Mill Rd, Springfield, MO 658042261.
What is Center Of Change's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Center Of Change is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Center Of Change's 1679741144 issued?
The Center Of Change's 1679741144 was issued on 2008-02-18.
When was the information pertaining to Center Of Change most recently updated or revised?
The details related to Center Of Change, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-01.
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