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DR. DAWN HEATHER HUBER PHD

Clinical Neuropsychologist

Rogersville, Missouri

Provider NPI: 1366694937

Provider Information:
DR. DAWN HEATHER HUBER PHD
Gender: F
Not Sole Proprietor

Practice Location:
175 S MARSHALL ST SUITE G ROGERSVILLE, MO 65742 US
Tel: 417-753-1963  Fax: 417-753-9405

Business Mailing Address:
175 S MARSHALL ST SUITE G ROGERSVILLE, MO 65742 US
Tel: 417-753-1963  Fax: 417-753-9405

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MO2008011433
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
MO2008011433
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
MO2008011433
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
MO2008011433
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
MO2008011433

Other Provider Identifiers:

IssuerNumberStateType
1366694937MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MO - Page 1



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