Organization
HOPE HOUSE PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIE SEALEY ERVEN PH.D. (LICENSED PSYCHOLOGIST)
(417) 861-9448
Entity
Organization
Contact information
Practice address
204 N POPLAR ST, FAIR PLAY, MO 65649-9298
(417) 861-9448
Mailing address
PO BOX 145, FAIR PLAY, MO 65649-0145
(417) 861-9448
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006006564
MO
Other
Enumeration date
07/03/2008
Last updated
07/17/2008
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