Healthcare Provider Details

I. General information

NPI: 1548306855
Provider Name (Legal Business Name): TRI-COUNTY PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 W HUBBLE DR
MARSHFIELD MO
65706-1532
US

IV. Provider business mailing address

PO BOX 256
MARSHFIELD MO
65706-0256
US

V. Phone/Fax

Practice location:
  • Phone: 417-859-7746
  • Fax: 417-859-7411
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. WARD M. LAWSON
Title or Position: PRESIDENT
Credential: PHD
Phone: 417-859-7746