Individual
STEPHANIE L FLYGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C, LPC
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 865-3479
Mailing address
1736 E SUNSHINE ST STE 718, SPRINGFIELD, MO 65804-1369
(417) 860-3893
(417) 877-0129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002489
MO
363A00000X
Physician Assistant
Primary
2019005000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499799815
—
MO
Enumeration date
02/05/2007
Last updated
05/27/2025
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