| Deer Oaks Missouri | |
|
4741 Central St Suite 494 Kansas City MO 64112-1533 | |
| (816) 561-2759 | |
| (210) 593-9863 |
| Full Name | Deer Oaks Missouri |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4741 Central St, Kansas City, Missouri |
| Authorized Official Name and Position | Paul Alan Boskind (CEO) |
| Authorized Official Contact | 2106153472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Oaks Missouri 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (210) 615-3472 | Deer Oaks Missouri 4741 Central St Suite 494 Kansas City MO 64112-1533 Ph: (816) 561-2759 |
| NPI Number | 1831354638 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831354638 | NPI | - | NPPES |
| 507527208 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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