Individual
PATRICIA L MCGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
2431 S RANGE LINE RD, STE A, JOPLIN, MO 64804-3248
(417) 621-5192
(417) 627-9968
Mailing address
PO BOX 2446, JOPLIN, MO 64803-2446
(417) 621-5192
(417) 627-9968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496969221
—
MO
Enumeration date
10/06/2006
Last updated
07/08/2007
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