Suzanne Pamela Demier
Psychologist
1423 N Jefferson Ave
Springfield
, Missouri 65802-1917
Suzanne Pamela Demier
Psychologist
1423 N Jefferson Ave
Springfield
, Missouri 65802-1917
(417) 269-8189
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Suzanne Pamela Demier
- 1423 N Jefferson Ave
- Springfield, MO
- Zip : 65802-1917
- Fax : (417) 269-8189
- Phone : (417) 269-3465
Second Address
- Suzanne Pamela Demier
- 1423 N Jefferson Ave
- Springfield, MO
- Zip : 65802-1917
- Fax : (417) 269-5595
- Phone : (417) 269-6891
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Is Suzanne Pamela Demier a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PY01642 | MO |
| Y | 103T00000X | Psychologist | PY01642 | MO |
National Provider Identifier
| NPI | 1013043033 |
|---|---|
| Provider Name | Suzanne Pamela Demier |
| First Address | Springfield, MO 65802-1917 |
| Second Address | Springfield, MO 65802-1917 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/02/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 113666 | BLUE SHIELD (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.