| Ms Constance Moore Brooks, PHD | |
|
205 Portland St, Columbia, MO 65201-6521 | |
| (573) 884-6052 | |
| (573) 884-6421 |
| Full Name | Ms Constance Moore Brooks |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 205 Portland St, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750470506 | NPI | - | NPPES |
| 494-73-8610 | Medicaid | MO | |
| 11614969 | Other | MO | CAQH PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2007028043 (Missouri) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2007028043 (Missouri) | Primary |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Constance Moore Brooks, PHD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Ms Constance Moore Brooks, PHD 205 Portland St, Columbia, MO 65201-6521 Ph: (573) 884-6052 |
Kristin Dyer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 W Worley St, Columbia, MO 65203 Phone: 573-214-3400 | |
Dr. Katherine Ellis Light, PHD, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Berrywood Dr, Columbia, MO 65201 Phone: 573-777-8330 Fax: 573-777-8390 | |
Dr. Randee Shenkel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2804 Forum Blvd Ste 4, Columbia, MO 65203 Phone: 573-446-5034 Fax: 573-446-5046 | |
Jocelyn N Abanes, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Martha Brownlee-duffeck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Adrionia Marie Molder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Parker Hall, Columbia, MO 65211 Phone: 573-882-2665 | |
Dr. Hayley Elizabeth Clocksin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Portland St, Columbia, MO 65201 Phone: 573-884-6052 Fax: 573-884-3195 |