Individual
MS. CONSTANCE MOORE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
701 VETERANS UNITED DR, COLUMBIA, MO 65201-4236
(573) 884-6052
(573) 884-6421
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2007028043
MO
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2007028043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11614969
CAQH PROVIDER ID
MO
05
—
494-73-8610
—
MO
Enumeration date
10/12/2006
Last updated
03/24/2026
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