Individual
DR. PENELOPE AILEENE MCALMOND ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5111
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2019011517
MO
103TC0700X
Clinical Psychologist
PSY20020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11690058
CAQH
—
05
—
490073979
—
MO
Enumeration date
02/06/2006
Last updated
12/03/2020
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