Individual
CHARLES F COLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00228
MO
Other
Enumeration date
03/28/2007
Last updated
07/12/2007
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