Individual
DR. MADELEINE KAY VATTEROTT-MORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2012029564
MO
103T00000X
Psychologist
Primary
01400
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
01400
MO
Other
Enumeration date
09/16/2011
Last updated
02/10/2017
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