Brewer, Richard Lynn

Brewer, Richard Lynn is an individual health care provider with primary practice located at 315 S Main Ave , Bolivar MO 65613-2052. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brewer, Richard Lynn can be contacted via phone (417) 326-2902.

Contact Information

Primary practice address
315 S Main Ave Bolivar MO 65613-2052
Phone: (417) 326-2902
Fax: (417) 326-4555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01577 Missouri

Profile Details

NPI number 1962472670
LBN Legal business name Brewer, Richard Lynn
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 17th, 2015 - about 10 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 1962472670 NPPES
Missouri Other 2970 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 496642505 BLUE CROSS BLUE SHIELD

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