| NPI | 1902042294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT LEON HALDERMAN President 913-262-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 803) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2009-05-06 |