Healthcare Provider Details

I. General information

NPI: 1205222346
Provider Name (Legal Business Name): DAVID L SCHLINK & ASSOCIATES PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 E LARK ST
SPRINGFIELD MO
65804-6745
US

IV. Provider business mailing address

2017 E LARK ST
SPRINGFIELD MO
65804-6745
US

V. Phone/Fax

Practice location:
  • Phone: 417-882-7795
  • Fax:
Mailing address:
  • Phone: 417-882-7795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY 01431
License Number StateMO

VIII. Authorized Official

Name: DR. DAVID L SCHLINK
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 417-882-7795