Organization
MIDWEST NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN GRANT JONES PSY.D. (NEUROPSYCHOLOGIST)
(417) 880-6838
Entity
Organization
Contact information
Practice address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 880-6838
(417) 374-0074
Mailing address
1864 S KENTWOOD AVE, SPRINGFIELD, MO 65804-2323
(417) 880-6838
(417) 374-0074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2013020719
MO
103TC0700X
Clinical Psychologist
2013020719
MO
1041C0700X
Clinical Social Worker
2013015422
MO
Other
Enumeration date
08/12/2013
Last updated
05/24/2021
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