Colvin, Anne R.

Colvin, Anne R. is an sole proprietor health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Colvin, Anne R. can be contacted via phone (417) 269-5400.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2006011178 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2007025029 Missouri

Profile Details

NPI number 1265556633
LBN Legal business name Colvin, Anne R.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Dec 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265556633 NPPES
Missouri MEDICAID 1265556633

Popular Providers