Individual
SCOTT BRANDHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
315 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 326-2902
(417) 326-4555
Mailing address
315 S MAIN AVE, BOLIVAR, MO 65613-2052
(417) 326-2902
(417) 326-4555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2005012218
MO
Other
Enumeration date
10/07/2005
Last updated
09/27/2007
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