Organization
HOPE HOUSE PSYCHOLOGICAL SERVICES, LLC
Active
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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