Individual
DR. MARYDETH L PRIESMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 WEST BLVD N, SUITE D, COLUMBIA, MO 65203-2600
(573) 875-6662
(573) 443-5188
Mailing address
401 WEST BLVD N, SUITE D, COLUMBIA, MO 65203-2600
(573) 875-6662
(573) 443-5188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01259
MO
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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