| NPI | 1467418525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A SPICER Clinic Manager 816-822-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY1767) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2008-04-08 |