Individual
LISA M CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
(417) 627-9032
Mailing address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
(417) 627-9032
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010030524
MO
Other
Enumeration date
08/12/2009
Last updated
09/13/2010
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