Healthcare Provider Details

I. General information

NPI: 1659207090
Provider Name (Legal Business Name): THOMAS MEFFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E BROADWAY BLVD
SEDALIA MO
65301-5800
US

IV. Provider business mailing address

121 E BROADWAY BLVD
SEDALIA MO
65301-5800
US

V. Phone/Fax

Practice location:
  • Phone: 660-826-2380
  • Fax: 660-827-6277
Mailing address:
  • Phone: 660-826-2380
  • Fax: 660-827-6277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS MEFFORD
Title or Position: OWNER
Credential:
Phone: 660-826-2380