Individual
DR. DARRYL R. HASLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
1722 S GLENSTONE AVE, STE H, SPRINGFIELD, MO 65804-1519
(417) 881-9518
Mailing address
1461 W HIGHPOINT CIR, SPRINGFIELD, MO 65810-2595
(417) 883-0402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2005-025113
MO
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
09/11/2025
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