| Brent L Halderman Phd Llc | |
|
7011 W 121st St Suite 105 Overland Park KS 66209-2009 | |
| (913) 262-2070 | |
| (913) 676-6008 |
| Full Name | Brent L Halderman Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7011 W 121st St, Overland Park, Kansas |
| Authorized Official Name and Position | Brent Leon Halderman (PRESIDENT) |
| Authorized Official Contact | 9132622070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent L Halderman Phd Llc 7011 W 121st St Suite 105 Overland Park KS 66209-2009 Ph: (913) 262-2070 | Brent L Halderman Phd Llc 7011 W 121st St Suite 105 Overland Park KS 66209-2009 Ph: (913) 262-2070 |
| NPI Number | 1902042294 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902042294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 803 (Kansas) | Primary |
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