Individual
JOHN RICHARD SPOONER
Active
Individual
JOHN RICHARD SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2002023735
MO
103TC0700X
Clinical Psychologist
Primary
2006034106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193564
BLUE CROSS BLUE SHIELD
MO
05
—
495966319
—
MO
Enumeration date
01/25/2006
Last updated
09/18/2013
Update your record
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