Individual
KAYLA COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-1444
Mailing address
600 E 5TH ST, FULTON, MO 65251-1753
(573) 592-1444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2017043920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005002
—
MO
01
—
1164477873
NPI
MO
Enumeration date
01/03/2019
Last updated
01/03/2019
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