Dominic Curt Alvernaz, PLP
Individual provider Active NPI Clinical Psychologist · Windsor, MO
NPI 1801489752 · NPPES record last updated Feb 11, 2021
Key facts
- NPI
- 1801489752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2020042388 (MO)
- Practice address
- 307 N Main St
Windsor, MO 65360-1449 - Phone
- (888) 403-1071
- NPI assigned
- Feb 11, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020042388 | MO | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2020042388 | MO | Yes |
Addresses
Primary practice location
307 N Main St
Windsor, MO 65360-1449
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other providers in Windsor, MO
- Alicia Arifah Albers
- Tyler Alder
- Faheem Saeed Arain
- Kymberlee Ash
- Andrew Dean Bedell
- Makenzie Paige Bickers
- Jennifer Ann Blair
All providers in Windsor, MO · Clinical Psychologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.