Individual
DR. BROOKE J. D. PREYLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
895 FAIRWAY DR., CHILLICOTHE, MO 64601-2019
(660) 646-4655
Mailing address
895 FAIRWAY DR., CHILLICOTHE, MO 64601-2019
(660) 646-4655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MO
103TC0700X
Clinical Psychologist
Primary
2008032456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494447303
—
MO
Enumeration date
01/08/2007
Last updated
11/18/2009
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