Spooner, John Richard

Spooner, John Richard is an individual health care provider with primary practice located at 2085 S Boston Pl , Bolivar MO 65613-2871. He 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 his primary health care specialty. Spooner, John Richard can be contacted via phone (417) 326-2418.

Contact Information

Primary practice address
2085 S Boston Pl Bolivar MO 65613-2871
Phone: (417) 326-2418
Fax: (417) 326-2419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2002023735 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2006034106 Missouri

Profile Details

NPI number 1750351409
LBN Legal business name Spooner, John Richard
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 18th, 2013 - about 12 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 1750351409 NPPES
Missouri MEDICAID 495966319
Missouri Other 193564

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