Organization
COUNSELING & PSYCHOLOGICAL SERVICES, UNIVERSITY OF CENTRAL MISSOURI
Active
Other names
University of Central Missouri Counseling & Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DALLAS POLYCHRONIS PH.D. (ASSISTANT DIRECTOR OF UHS FOR CPS)
(660) 543-4060
Entity
Organization
Contact information
Practice address
HUMPHREYS BLDG STE131, UNIVERSITY OF CENTRAL MISSOURI, WARRENSBURG, MO 64093-5176
(660) 543-4060
(660) 543-8277
Mailing address
HUMPHREYS BLDG STE131, UNIVERSITY OF CENTRAL MISSOURI, WARRENSBURG, MO 64093-5176
(660) 543-4060
(660) 543-8277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY01533
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10537821
TAX IDENTIFICATION NUMBER
MO
Enumeration date
01/30/2007
Last updated
08/22/2020
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