Individual
MS. REBECCA VANTIL DEGRAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2804 FORUM BLVD, SUITE 4, COLUMBIA, MO 65203
(573) 446-5034
(573) 446-5046
Mailing address
2804 FORUM BLVD, SUITE 4, COLUMBIA, MO 65203
(573) 446-5034
(573) 446-5046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0528
MO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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