| Organization Name: | APPLIED PSYCHOLOGICAL CENTER, LLC |
| NPI Number: | 1003018417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID M VAN PELT (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2907 Independence St Suite F Cape Girardeau |
| State: | MO US |
| Postal Code: | 637035044 |
| Phone Number: | 5733343329 |
| Fax Number: | 5732007006 |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 02/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |