Beisner-Whitmire, Michelle Lea

Beisner-Whitmire, Michelle Lea is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Beisner-Whitmire, Michelle Lea can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2006034119 Missouri

Profile Details

NPI number 1487725768
LBN Legal business name Beisner-Whitmire, Michelle Lea
Credentials PSY. D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487725768 NPPES
Missouri MEDICAID 497212902

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