Dionysus, Kimberly E
Dionysus, Kimberly E is an individual health care provider with primary practice located at 2030 S National Ave Ste 105 , Springfield MO 65804-2238. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Dionysus, Kimberly E can be contacted via phone (417) 820-9590.Contact Information
Primary practice address
2030 S National Ave Ste 105
Springfield MO 65804-2238
Phone: (417) 820-9590
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071009108 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2011037843 | Missouri |
Profile Details
| NPI number | 1164709747 |
|---|---|
| LBN Legal business name | Dionysus, Kimberly E |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2011 |
| Last updated | Jul 9th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164709747 | NPPES |
| Oklahoma | MEDICAID | 200437390A | |
| Oklahoma | MEDICAID | 1164709747 | |
| Oklahoma | MEDICAID | 200750120A |
Popular Providers
-
Mothersead, Philip K
1235 E Cherokee St , Springfield MO 65804-2203 -
Darrow, Evelyn M.
1525 W Sunshine St Suite D, Springfield MO 65807-2348 -
Jones, Ryan Grant
1864 S Kentwood Ave , Springfield MO 65804-2323 -
Whetstone, Michael
2115 S Fremont Ave Ste 3000 , Springfield MO 65804-2215 -
Rawlings, David B
720 Goodlette Rd N Ste 201, Naples FL 34102-5656 -
Rider, Kenneth L.
525 South Dr Suite 207, Mountain View CA 94040-4213 -
Klusman, Lawrence Edward
10630 N Oak Hills Pkwy Ste B, Baton Rouge LA 70810-2859 -
Vo, Lindsay Nguyen
1300 E Bradford Pkwy , Springfield MO 65804-4264