Creative Renewal & Resolutions, Llc

NPI 1184915472 - Psychologist - 103TA0400X

NPI Details
NPI 1184915472
Enumeration Date 04/21/2011
Last Updated 04/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DAVID L DAVID
Position OWNER, MANAGING MEMBER
Phone (417) 890-4083
Fax (417) 890-4091
Practice Location
1531 E BRADFORD PKWY
STE 210-4
SPRINGFIELD MO, 65804-6566, US
Phone (417) 890-4083
Fax (417) 890-4091
Business Location
1531 E BRADFORD PKWY
STE 210-4
SPRINGFIELD MO, 65804-6566, US
Phone (417) 890-4083
Fax (417) 890-4091
Toxanomy
Taxonomy Code 103TA0400X
License State Missouri
License Number 2009026793
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According to our database, Creative Renewal & Resolutions, Llc NPI is 1184915472, taxonomy code is 103TA0400X and license number is 2009026793, license state is located at Missouri. Creative Renewal & Resolutions, Llc physically located at 1531 E Bradford Pkwy, Springfield MO, 65804-6566. NPI Number 1033115704 has the healthcare provider type.

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1184915472 NPI number is provided on an as is basis without warranty of any kind. 1184915472 is maintained by the National Plan & Provider Enumeration System. The contents of Creative Renewal & Resolutions, Llc are for informational purposes only.