Core14 LLC

NPI #1982955191 in Joplin, Missouri

Provider Information

NPI Number: 1982955191
Entity Type: Organization
Organization Name: Core14 LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 27, 2012
Last Updated: Oct 17, 2012

Practice Location

Address: 2700 N RANGE LINE RD
Address 2: SUITE 101
City: Joplin
State: Missouri
ZIP Code: 64801-9100
Phone: (417) 627-9601

Authorized Official

Name: DR. JENNIFER ALBERTY, PSY.D.
Title: PSYCHOLOGIST
Phone: (417) 627-9601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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