| David Pulcher, Ph.d., Llc | |
|
8575 W 110th St Ste 200 Overland Park KS 66210-2774 | |
| (913) 345-0033 | |
| (913) 345-0177 |
| Full Name | David Pulcher, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8575 W 110th St Ste 200, Overland Park, Kansas |
| Authorized Official Name and Position | David Wayne Pulcher (OWNER) |
| Authorized Official Contact | 9133450033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Pulcher, Ph.d., Llc 8575 W 110th St Ste 200 Overland Park KS 66210-2774 Ph: (913) 345-0033 | David Pulcher, Ph.d., Llc 8575 W 110th St Ste 200 Overland Park KS 66210-2774 Ph: (913) 345-0033 |
| NPI Number | 1255877817 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Medicare PECOS PAC ID | 0547541435 |
|---|---|
| Medicare Enrollment ID | O20170109001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255877817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 746 (Kansas) | Primary |
| Provider Name | David Wayne Pulcher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598795304 PECOS PAC ID: 0941246813 Enrollment ID: I20051206000766 |
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