| Rebecca V. Degraaf Llc | |
|
3610 Buttonwood Dr Ste 200 Columbia MO 65201-3721 | |
| (573) 886-8982 | |
| (573) 886-8901 |
| Full Name | Rebecca V. Degraaf Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3610 Buttonwood Dr Ste 200, Columbia, Missouri |
| Authorized Official Name and Position | Rebecca V Degraaf (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5738868982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca V. Degraaf Llc 3610 Buttonwood Dr Ste 200 Columbia MO 65201-3721 Ph: (573) 886-8982 | Rebecca V. Degraaf Llc 3610 Buttonwood Dr Ste 200 Columbia MO 65201-3721 Ph: (573) 886-8982 |
| NPI Number | 1134900053 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4183078876 |
|---|---|
| Medicare Enrollment ID | O20230928003851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134900053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Rebecca V Degraaf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114018801 PECOS PAC ID: 7416932207 Enrollment ID: I20040624000396 |
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