Provider Demographics
NPI:1477656585
Name:MEFFORD VUAGNIAUX & ASSOCIATES
Entity type:Organization
Organization Name:MEFFORD VUAGNIAUX & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:660-826-2380
Mailing Address - Street 1:121 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-5800
Mailing Address - Country:US
Mailing Address - Phone:660-826-2380
Mailing Address - Fax:
Practice Address - Street 1:121 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-5800
Practice Address - Country:US
Practice Address - Phone:660-826-2380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO498916527Medicaid
MO1083604847OtherNPI
MO495180101Medicaid
MO499008209Medicaid
MO498148626Medicaid
MO1629305396OtherNPI
MO493248421Medicaid
MO853819704Medicaid
MO499706927Medicaid
MO498148626Medicaid
MO1083604847OtherNPI
MO493248421Medicaid