| NPI | 1013076215 |
|---|---|
| Doing Business As | PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALBERT MOFFITT Vice President Owner 913-651-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |