MEDICARE: GARY UNDERWOOD LPC

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	000254	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19616	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1861597650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY UNDERWOOD LPC

Provider Business Mailing Address
First Line	:	402 S SILVER SPRINGS RD
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-7536
Country	:	US
Telephone Number	:	573-334-1100
Fax Number	:	573-334-8819

Provider Business Practice Location Address
First Line	:	208 BROADWAY
Second Line	:
City	:	MARBLE HILL
State	:	MO
Zip	:	63764
Country	:	US
Telephone Number	:	573-238-1127
Fax Number	:	573-238-1171

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1235352063 — DONALD JOE BROWN R.PH.
Practice Location Address:

106 N FIRST ST
MARBLE HILL, MO
63764-0739

Practice Phone: 573-238-4177
Practice Fax: 573-238-4986

1902803232 — ELDERCARE OF MARBLE HILL, LLC
Practice Location Address:

702 HIGHWAY 34 W
MARBLE HILL, MO
63764-4301

Practice Phone: 573-238-2614
Practice Fax: 573-238-9835

1003881384 — BOLLINGER COUNTY HEALTH CENTER
Practice Location Address:

107 HWY 51 N
MARBLE HILL, MO
63764-0409

Practice Phone: 573-238-2817
Practice Fax: 573-238-3085

1568575033 — TWIN CITY PHARMACY, INC
Practice Location Address:

106 NORTH 1ST
MARBLE HILL, MO
63764

Practice Phone: 573-238-4177
Practice Fax: 573-238-4986

1861580532 — L MARK MILDE DDS PC
Practice Location Address:

101 FIRST ST
MARBLE HILL, MO
63764

Practice Phone: 573-238-3330
Practice Fax: 573-238-3464

1699845040 — WOODLAND R-IV SCHOOL DISTRICT
Practice Location Address:

ROUTE 5 BOX 3210
MARBLE HILL, MO
63764

Practice Phone: 573-238-3343
Practice Fax:

Directions to “ GARY UNDERWOOD LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.