| NPI | 1578770954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY JAMES BISHOP Office Manager 816-756-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO PY00112) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-02-28 |