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Organization
APPLIED PSYCHOLOGICAL CENTER, LLC
Active
Organization
APPLIED PSYCHOLOGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M VAN PELT PSY,D (EXECUTIVE DIRECTOR)
(573) 334-3329
Entity
Organization
Contact information
Practice address
2907 INDEPENDENCE ST, SUITE F, CAPE GIRARDEAU, MO 63703-5044
(573) 334-3329
(573) 200-7006
Mailing address
2907 INDEPENDENCE ST, SUITE F, CAPE GIRARDEAU, MO 63703-5044
(573) 334-3329
(573) 200-7006
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001976787
CHILD TREATMENT SERVICES
MO
05
—
506277102
—
MO
Enumeration date
06/05/2007
Last updated
02/10/2014
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