Individual
DR. MARY M NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1200 NW SOUTH OUTER RD, SUITE 223, BLUE SPRINGS, MO 64015-3072
(816) 874-4008
(816) 874-4009
Mailing address
1200 NW SOUTH OUTER RD, SUITE 223, BLUE SPRINGS, MO 64015-3072
(816) 874-4008
(816) 874-4009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01502
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493520316
—
MO
Enumeration date
12/21/2006
Last updated
07/08/2007
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