Individual
DR. TERESA E LONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1870 BAGNELL DAM BLVD, SUITE B, LAKE OZARK, MO 65049-8658
(573) 964-6010
(573) 964-6909
Mailing address
PO BOX 943, LAKE OZARK, MO 65049-0943
(573) 964-6010
(573) 964-6909
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0393
MO
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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