| Preventative Psychiatry | |
|
636 W Republic Rd B-112 Springfield MO 65807-5818 | |
| (417) 886-6067 | |
| Not Available |
| Full Name | Preventative Psychiatry |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 636 W Republic Rd, Springfield, Missouri |
| Authorized Official Name and Position | Colby L Wang (MD) |
| Authorized Official Contact | 4178866067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventative Psychiatry 636 W Republic Rd B-112 Springfield MO 65807-5818 Ph: (417) 886-6067 | Preventative Psychiatry 636 W Republic Rd B-112 Springfield MO 65807-5818 Ph: (417) 886-6067 |
| NPI Number | 1225463136 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225463136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2001009509 (Missouri) | Primary |
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