Doctor Name: | MOIRIA ELAINE SEIBER |
NPI Number: | 1356727945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.L.P.C. |
License Number: | 2015026837 |
Business Practice Address: | 2695 State Route U Willow Springs, MO - 657933426 |
Business Phone Number: | 4172932668 |
Business Fax Number: | 4174690456 |
Mailing Address: | 5686 County Road 1820, WEST PLAINS |
State: | MO |
Postal Code: | 657755496 |
Phone Number: | 4172932668 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2015 |
NPI Last Update Date: | 08/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2015026837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |