Provider Demographics
NPI:1851866305
Name:FILBERT, CLARA ANN (PLPC, M ED)
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:ANN
Last Name:FILBERT
Suffix:
Gender:F
Credentials:PLPC, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 W COYOTE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65256-9598
Mailing Address - Country:US
Mailing Address - Phone:573-874-0179
Mailing Address - Fax:
Practice Address - Street 1:9501 W COYOTE HILL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:MO
Practice Address - Zip Code:65256-9598
Practice Address - Country:US
Practice Address - Phone:573-874-0179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018036685101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional