| NPI | 1659617322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY ROBERT DAVIDSON Clinical Psychologist 816-912-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 00237) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |