Individual
BEN LANPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 SOUTH PRAIRIE, BLOOMFIELD, MO 63825-0500
(573) 895-2145
(573) 895-2146
Mailing address
19103 STATE HIGHWAY C, ADVANCE, MO 63730-8070
(573) 722-5797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2000160891
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493428833
—
MO
Enumeration date
10/19/2006
Last updated
07/08/2007
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