Individual
DR. ADAM C. ANDREASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D, LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2008031131
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494050206
—
MO
Enumeration date
12/20/2007
Last updated
01/09/2024
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