Healthcare Provider Details
I. General information
NPI: 1851591051
Provider Name (Legal Business Name): GEORGE RAMEY SESSER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/25/2007
Last Update Date: 10/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1337 LOVINGER BLDG CENTRAL MISSOURI STATE UNIVERSITY
WARRENSBURG MO
64093-3222
US
IV. Provider business mailing address
700 CHAUCER LN
WARRENSBURG MO
64093-3222
US
V. Phone/Fax
- Phone: 660-543-8984
- Fax:
- Phone: 660-543-8984
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 002357 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 01369 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: