Individual
DONTE LESHON BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
211 S 8TH ST, COLUMBIA, MO 65211-8908
(573) 882-4677
(573) 882-4583
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2022036658
MO
103TC2200X
Clinical Child & Adolescent Psychologist
1651
SC
Other
Enumeration date
06/08/2021
Last updated
10/29/2024
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