Provider Demographics
NPI:1104807965
Name:MCGEHEE, DONALD (EDD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:MCGEHEE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E SUNSHINE ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1819
Mailing Address - Country:US
Mailing Address - Phone:417-877-0303
Mailing Address - Fax:417-877-0044
Practice Address - Street 1:2200 E SUNSHINE ST
Practice Address - Street 2:SUITE 302
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1819
Practice Address - Country:US
Practice Address - Phone:417-877-0303
Practice Address - Fax:417-877-0044
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY00705103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO221395OtherMANAGED HEALTH NETWWORK
MO155654OtherCOMPSYCH
MO2163798OtherFIRST HEALTH
MO168727OtherBLUE CROSS BLUE SHIELD
MO221395OtherMANAGED HEALTH NETWWORK