Individual
DR. ANNE R. COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 269-5400
Mailing address
3610 N. 30TH STREET, OZARK, MO 65721
(417) 655-3402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2006011178
MO
103TC0700X
Clinical Psychologist
Primary
2007025029
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265556633
—
MO
Enumeration date
03/19/2007
Last updated
12/08/2015
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