Healthcare Provider Details

I. General information

NPI: 1205098720
Provider Name (Legal Business Name): THE SCHOOL OF HEALTH PROFESSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR DC116.88
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

PO BOX 7538
COLUMBIA MO
65205-7538
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-3757
  • Fax: 573-884-2320
Mailing address:
  • Phone: 573-882-3757
  • Fax: 573-884-2320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD OLIVER
Title or Position: DEAN
Credential:
Phone: 573-884-6705