| NPI | 1083612865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NOLL Corporate Secretary 816-835-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MO PYR0288) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO PYR0288) |
| 103TC0700X Psychologist, Clinical (Licence: MO PY01864) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |