Organization
WALDO PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WALDO PHD (PRESIDENT)
(660) 596-2400
Entity
Organization
Contact information
Practice address
3904 SW WINDSONG DR, LEES SUMMIT, MO 64082-4051
(660) 596-2400
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26423017
BCBS
MO
Enumeration date
05/03/2007
Last updated
08/27/2021
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