IndividualActive
Robert Coffman, PSYD
NPI 1306190913 · Clinical Neuropsychologist · Bolivar, MO
Provider details
- NPI number
- 1306190913
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 2019045868 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1245 N Butterfield Rd Ste C1
Bolivar, MO 65613-3017
Phone: (417) 327-3530
Fax: (417) 327-3543
Approximate (ZIP-level) locationGet directions
Mailing address
1245 N Butterfield Rd Ste C1
Bolivar, MO 65613-3017
Additional practice locations (1)
- 8072 Normandy DrFt Riley, KS 66442-7069Phone: (785) 239-3627
Registry dates
- Enumerated
- 2012-11-05
- Last updated
- 2020-01-29
- Certified
- 2020-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.