institution
Prc Enterprises
Intellectual & Developmental Disabilities Psychologist in Poplar Bluff, Missouri
NPI 1508925025

Prc Enterprises is a Intellectual & Developmental Disabilities Psychologist based in Poplar Bluff, MO and is specialized in Intellectual & Developmental Disabilities. Prc Enterprises practices in Poplar Bluff, MO. The NPI Number for Prc Enterprises is 1508925025 and holds a License No. 14078480 (Missouri).

The current practice location address for Prc Enterprises is 650 Vine St, Poplar Bluff, MO and can be reached out via phone at 573-778-1126 and via fax at 573-785-4887.

Location: 650 Vine St, Poplar Bluff, MO, 63901-5039
institution
Provider Profile Details
NPI Number
1508925025
Provider Name
Prc Enterprises
Credential
Provider Entity Type
Organization
Address
650 Vine St, Poplar Bluff, MO, 63901-5039
Phone Number
573-778-1126
Fax Number
573-785-4887
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
193400000X 05 MO
institution
Provider Business Practice Location Address Details
Address
650 Vine St
City
State
Zip
63901-5039
Phone Number
573-778-1126
Fax Number
573-785-4887
person
Provider Business Mailing Address Details
Address
650 Vine St
City
State
Zip
63901-5039
Phone Number
573-778-1126
Fax Number
573-785-4887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
14078480 (Missouri)
Definition
Definition to come...
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