| NPI | 1962706218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRELL WEIERS Licensed Psychologist 816-876-9352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2009030746) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |