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Catherine M Hissink, MS
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nevada, Missouri
NPI 1295892750

Catherine M Hissink is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Nevada, MO. Catherine M Hissink practices in Nevada, MO and has the professional credentials of MS. The NPI Number for Catherine M Hissink is 1295892750 and holds a License No. 01351 (Missouri).

The current practice location address for Catherine M Hissink is 300 W Cherry St, Nevada, MO and can be reached out via phone at 417-667-4230 and via fax at 417-667-7607.

Location: 300 W Cherry St, Nevada, MO, 64772-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295892750
Provider Name
Catherine M Hissink
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
300 W Cherry St, Nevada, MO, 64772-2202
Phone Number
417-667-4230
Fax Number
417-667-7607
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
493314306 05 MO
20591015 01 MO BLUE CROSS OF WESTERN MO
institution
Provider Business Practice Location Address Details
Address
300 W Cherry St
City
Nevada
State
Missouri
Zip
64772-2202
Phone Number
417-667-4230
Fax Number
417-667-7607
person
Provider Business Mailing Address Details
Address
300 W Cherry St
City
Nevada
State
Missouri
Zip
64772-2202
Phone Number
417-667-4230
Fax Number
417-667-7607
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
PY01351 (Missouri)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
01351 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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