Individual
CODY LEE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCP
Contact information
Practice address
320 MAC BLVD, NEVADA, MO 64772
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012042319
MO
Other
Enumeration date
04/04/2013
Last updated
05/13/2019
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