Individual
DR. JEAN M DEVENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1350 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4376
(417) 761-5000
(417) 761-5065
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20-04P
AR
103TC0700X
Clinical Psychologist
Primary
2022029712
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237737795
—
AR
05
—
32977400
—
WI
05
—
490082121
—
MO
Enumeration date
11/19/2008
Last updated
04/17/2026
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