Individual
DEAN ARNOLD LANDSBERG
Active
Individual
DEAN ARNOLD LANDSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PSYCHOLOGIS
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07185014
BLUECROSS/BLUESHIELD
MO
01
—
100719
MHN
MO
01
—
4343682
MAGELLAN
MO
01
—
613317
KS BLUECROSS
KS
01
—
6143117
UBH
MO
01
—
S59878
VALUE OPTIONS
MO
Enumeration date
09/20/2006
Last updated
07/09/2007
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