Provider Demographics
NPI:1497840276
Name:PRESSER, NAN R (PHD)
Entity Type:Individual
Prefix:DR
First Name:NAN
Middle Name:R
Last Name:PRESSER
Suffix:
Gender:F
Credentials:PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSYCHOLOGICAL SERVICES CLINIC UNIVERSITY OF MISSOURI
Mailing Address - Street 2:211 S. 8TH STREET
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65211-0001
Mailing Address - Country:US
Mailing Address - Phone:573-882-4677
Mailing Address - Fax:573-882-4583
Practice Address - Street 1:PSYCHOLOGICAL SERVICES CLINIC UNIVERSITY OF MISSOURI
Practice Address - Street 2:211 S. 8TH STREET
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65211-0001
Practice Address - Country:US
Practice Address - Phone:573-882-4677
Practice Address - Fax:573-882-4583
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MOR0203103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490088241Medicaid