Healthcare Provider Details

I. General information

NPI: 1922086735
Provider Name (Legal Business Name): DAWN PARSONS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN C CLINARD

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 11/03/2024
Certification Date: 11/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16020 SWINGLEY RIDGE RD STE 300
CHESTERFIELD MO
63017-2085
US

IV. Provider business mailing address

PO BOX 280
BENTON AR
72018-0280
US

V. Phone/Fax

Practice location:
  • Phone: 636-681-2620
  • Fax: 636-216-1478
Mailing address:
  • Phone: 501-205-0703
  • Fax: 501-229-2904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2006029914
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2006029914
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: