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Individual

AMBER PERKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 605-7100
(417) 708-0889
Mailing address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 605-7100
(417) 708-0889

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2019036248
MO
103T00000X
Psychologist
2837
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019036248
PSYCHOLOGIST LICENCE
MO
01
2837
LMLP LICENSE
KS
05
490075618
MO
Enumeration date
10/11/2018
Last updated
02/02/2026
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