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Individual

AMY ELIZABETH KESSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2002004681
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578533758
MO
01
159209
BLUE CROSS BLUE SHIELD
MO
05
189458719
AR
01
431560263
TRICARE
MO
01
P00985995
RR MCR
MO
Enumeration date
01/23/2006
Last updated
03/15/2021
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