Central Methodist University
Organization Active NPI Counseling Psychologist · Fayette, MO
NPI 1952836645 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1952836645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 2005041421 (MS)
- Legal business name
- CENTRAL METHODIST UNIVERSITY
- Practice address
- 411 Central Methodist SQ
RM 206
Fayette, MO 65248-1104 - Phone
- (972) 367-4845
- NPI assigned
- May 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Mouzon Bass III
- Title
- Agent
- Phone
- (972) 367-4845
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Central Methodist University
Locations
411 Central Methodist Sq
Rm 206
Fayette, MO 65248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist |
103TC1900X | 2005041421 | MS | Yes |
Addresses
Primary practice location
411 Central Methodist SQ
RM 206
Fayette, MO 65248-1104
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names
- CMU Counseling
Other providers in Fayette, MO
- Devin Adam Breckenridge
- Bristol Care, Inc.
- Robert Neal Buffaloe
- Central Methodist Univeristy
- Central Methodist University
- Central Methodist University
- Central Methodist University Sports Medicine/Athletic Training
- Sam Cheng
- Mary Ann T Coatney
- Mary Jeanette Collins
All providers in Fayette, MO · Counseling 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 May 1, 2017. 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.