EVELYN ELAINE PLATZ L.PC
NPI 1053671628
Counselor - Professional in Springfield, MO
Active since May 16, 2012
About Evelyn Elaine Platz L.pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN ELAINE PLATZ L.PC (NPI 1053671628) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2011016681) and active in the NPI registry since May 2012.
NPPES Registry Identity
NPI1053671628
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEVELYN ELAINE PLATZCredential: L.PC
Location Address3345 S RIDGECREST AVESpringfield, MO 65807-8855
Mailing Address3345 S Ridgecrest AveSpringfield, MO 65807-8855 · (417) 693-4679
Phone(417) 693-4679
Sole ProprietorYes
Enumeration DateMay 16, 2012
✔ NPI 1053671628 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2011016681
3345 S RIDGECREST AVE, Springfield, MO 65807
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053671628, enumerated as an "individual" on May 16, 2012.
The provider is located at 3345 S RIDGECREST AVE SPRINGFIELD, MO 65807 and the phone number is (417) 693-4679.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
