Individual
DR. JOAN ELLEN BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
309 N JEFFERSON AVE, SUITE 221, SPRINGFIELD, MO 65806-1108
(417) 862-0021
(417) 862-0021
Mailing address
309 N JEFFERSON AVE, SUITE 221, SPRINGFIELD, MO 65806-1108
(417) 862-0021
(417) 862-0021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496957903
—
MO
Enumeration date
10/12/2006
Last updated
07/08/2007
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