Healthcare Provider Details
I. General information
NPI: 1841378163
Provider Name (Legal Business Name): SHAROL MCGEHEE & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 E SUNSHINE ST SUITE 302
SPRINGFIELD MO
65804-1819
US
IV. Provider business mailing address
2200 E SUNSHINE ST SUITE 302
SPRINGFIELD MO
65804-1819
US
V. Phone/Fax
- Phone: 417-877-0303
- Fax: 417-877-0044
- Phone: 417-877-0303
- Fax: 417-877-0044
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP2701X |
| Taxonomy | Group Psychotherapy Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHAROL
MCGEHEE
Title or Position: PRESIDENT
Credential: PSY.D.
Phone: 417-877-0303