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NPI Code Detail

MEDICARE: MR. RON L STOOPS MS,LPC

MEDICARE: MR. RON L STOOPS MS,LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2002032281

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770667461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RON L STOOPS MS,LPC
Provider Business Mailing Address
First Line : 1406 S 17TH AVE
Second Line :
City : OZARK
State : MO
Zip : 65721-8435
Country : US
Telephone Number : 517-496-7389
Fax Number :
Provider Business Practice Location Address
First Line : 4699 N 21ST ST
Second Line :
City : OZARK
State : MO
Zip : 65721-7684
Country : US
Telephone Number : 417-581-4849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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