Individual
MR. ROBERT WAYNE PULCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD PSYCHOLOGIST
Contact information
Practice address
502 BURKARTH RD, STE D, WARRENSBURG, MO 64093-3104
(660) 429-6678
(660) 429-6672
Mailing address
PO BOX F, 502 BURKARTH RD STE D, WARRENSBURG, MO 64093-0890
(660) 429-6678
(660) 429-6672
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06714038
BCBS
MO
01
—
7587473001
MEDICAID QMB
MO
Enumeration date
02/09/2006
Last updated
07/08/2007
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