Kacie Dale, PsyD
Psychologist, Clinical in Springfield, MO. Individual provider (NPI-1).
NPI number1144998618
StatusActive
Last updated in NPPESAug 31, 2021
Details
- NPI
- 1144998618
- Entity type
- Individual (NPI-1)
- Name
- Kacie Dale
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2021
- Certification date
- Aug 31, 2021
- Last updated
- Aug 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2021033872 | MO | Yes |
Practice location
440 E Tampa StSpringfield, MO 65806-1131
Phone 417-851-1551
Mailing address
440 E Tampa StSpringfield, MO 65806-1131
Phone 417-851-1551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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