Individual
AMY ELIZABETH KESSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
SPRINGFIELD PUBLIC SCHOOLS, 1610 E. SUNSHINE ST., SPRINGFIELD, MO 65804
(417) 820-9590
(417) 820-9592
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
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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