Provider Demographics
NPI:1578604708
Name:WOON, JEANNE MARIE SOOK TEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:MARIE SOOK TEEN
Last Name:WOON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-0107
Mailing Address - Country:US
Mailing Address - Phone:660-543-4060
Mailing Address - Fax:660-543-8277
Practice Address - Street 1:HUMPHREYS 131
Practice Address - Street 2:UNIVERSITY OF CENTRAL MISSOURI
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-543-4060
Practice Address - Fax:660-543-8277
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003012578103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist