Individual
MICHELLE LEA BEISNER-WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D., LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2006034119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497212902
—
MO
Enumeration date
11/10/2006
Last updated
03/21/2019
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