NPI | 1750612925 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY V. BUTTS President 816-561-5556 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 00020) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MO 00020) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2010-01-27 |