Doctor Name: | KATHLEEN G. SCHLUETER |
NPI Number: | 1225364946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 2009033033 |
Business Practice Address: | 729 W Center Cir Suite 103 Nixa, MO - 657147001 |
Business Phone Number: | 4177240700 |
Business Fax Number: | 4177240710 |
Mailing Address: | 776 S Pinehurst St, NIXA |
State: | MO |
Postal Code: | 657148387 |
Phone Number: | 4175513604 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2009 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2009033033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |