Individual
ANGELA D. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2108 W VISTA ST, SPRINGFIELD, MO 65807-5918
(417) 597-4309
(417) 763-3308
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2009030873
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499124600
—
MO
Enumeration date
10/13/2008
Last updated
10/24/2022
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