| NPI | 1568672079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ALLEN CONDRA Partner,Psychologist 816-795-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 01479) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MO 01317) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |