Provider Demographics
NPI:1679618052
Name:OZARK PSYCHOLOGICAL ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:OZARK PSYCHOLOGICAL ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOSCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-882-4485
Mailing Address - Street 1:1736 E SUNSHINE ST
Mailing Address - Street 2:SUITE 811
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1343
Mailing Address - Country:US
Mailing Address - Phone:417-882-4485
Mailing Address - Fax:417-882-5517
Practice Address - Street 1:1736 E SUNSHINE ST
Practice Address - Street 2:SUITE 811
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1343
Practice Address - Country:US
Practice Address - Phone:417-882-4485
Practice Address - Fax:417-882-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health