| NPI | 1770744708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE L DIETCHMAN Licensed Psychologist 816-531-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MO 01720) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-11-18 |