Sarah Leech Kemp

Individual provider Active NPI Cognitive & Behavioral Psychologist · Camdenton, MO

NPI 1740647791 · NPPES record last updated Mar 8, 2017

Key facts

NPI
1740647791
Entity type
Individual (NPI type 1)
Primary specialty
Cognitive & Behavioral Psychologist 103TB0200X
License
2007010461 (MO)
Practice address
1328 Secluded Woods Dr
Camdenton, MO 65020-2556
Phone
(573) 317-0254
Fax
(573) 317-0254
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007010461MOMDCognitive & Behavioral Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 2007010461 MO Yes

Addresses

Primary practice location

1328 Secluded Woods Dr
Camdenton, MO 65020-2556

Mailing address

1328 Secluded Woods Dr
Camdenton, MO 65020-2556
Phone (573) 317-0254

Other providers in Camdenton, MO

All providers in Camdenton, MO · Cognitive & Behavioral Psychologist in Missouri

Sources for this page

Verify at the official NPI Registry.