| NPI | 1205043205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY JAMES BISHOP Office Manager 816-756-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY00112) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 0441) |
| 1041C0700X Social Worker, Clinical (Licence: MO SW002967) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |