MEDICARE: NANCY LEIGH HEDRICK PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2016040218	MO

General Provider Information

NPI Number	:	1598209637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY LEIGH HEDRICK PLPC

Provider Business Mailing Address
First Line	:	1800 COMMUNITY
Second Line	:
City	:	CLINTON
State	:	MO
Zip	:	64735-8804
Country	:	US
Telephone Number	:	660-890-8183
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 S BUSINESS HIGHWAY 13
Second Line	:
City	:	LEXINGTON
State	:	MO
Zip	:	64067-1515
Country	:	US
Telephone Number	:	888-403-1071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2016
Last Update Date	:	05/02/2018

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