Individual
NANCY L BREUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2030 S NATIONAL AVE STE 105, SPRINGFIELD, MO 65804-2222
(417) 820-9590
(417) 820-9592
Mailing address
2030 S NATIONAL AVE STE 105, SPRINGFIELD, MO 65804-2222
(417) 820-9590
(417) 820-9592
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168119719
—
AR
05
—
493864201
—
MO
Enumeration date
02/02/2007
Last updated
09/12/2008
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