Provider Demographics
NPI:1033973318
Name:NELGNER, WILLIAM E (PLPC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:NELGNER
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 E REPUBLIC RD STE H
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-7220
Mailing Address - Country:US
Mailing Address - Phone:177-309-8584
Mailing Address - Fax:417-216-6769
Practice Address - Street 1:1335 E REPUBLIC RD STE H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-7220
Practice Address - Country:US
Practice Address - Phone:417-719-1440
Practice Address - Fax:417-216-6769
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024003557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional