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KIMBERLY E DIONYSUS-ROUINTREE PSYD

Clinical Neuropsychologist

Springfield, Missouri

Provider NPI: 1164709747

Provider Information:
 KIMBERLY E DIONYSUS-ROUINTREE PSYD
Gender: F
Not Sole Proprietor

Practice Location:
2030 S NATIONAL AVE STE 105  SPRINGFIELD, MO 65804 US
Tel: 417-820-9590  Fax: --

Business Mailing Address:
2030 S NATIONAL AVE STE 105  SPRINGFIELD, MO 65804 US
Tel: 417-820-9590  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MO2011037843
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IL071009108

Other Provider Identifiers:

IssuerNumberStateType
200437390AOK05
200750120AKS05
1164709747MP05
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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