State Of Missouri is a Psychology Clinic in Fulton, Missouri. This organization is also known as sub part of State Of Missouri. It is located at 600 E 5th St, Fulton, MO and its contact number is 573-592-4100. The authorized person for State Of Missouri is Molly Jane Boeckmann
who is Director Of Administrative Services of the clinic and his/her contact number is 573-751-4055. State Of Missouri Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
State Of Missouri Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
State Of Missouri
Specialization:
General Psychology
Clinic Address:
600 E 5th St, Fulton, Missouri, 65251-1753
Phone:
573-592-4100
Fax:
573-592-3000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Molly Jane Boeckmann
Position:
Director Of Administrative Services
Contact Number:
573-751-4055
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for State Of Missouri clinic are as mentioned below.
NPI Number:
1164477873
Parent Organization:
State Of Missouri
NPI Enumeration Date:
23 May, 2006
NPI Last Update On:
28 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Of Missouri are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
Primary
Psychologist
Secondary
Clinical
Secondary
Clinical
Secondary
Optometrist
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Podiatrist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500490008
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
State Of Missouri 1706 E Elm St, Po Box 687 Jefferson City, Missouri
Zip:
65101-4130
Phone Number:
573-751-3398
Fax Number:
573-526-4560
Patients can reach State Of Missouri at 600 E 5th St, Fulton, Missouri or can call to book an appointment on 573-592-4100. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.