| Dietchman, Leavell And Associates | |
|
3210 Gillham Rd Kansas City MO 64109-1714 | |
| (816) 531-7737 | |
| (816) 531-7738 |
| Full Name | Dietchman, Leavell And Associates |
|---|---|
| Speciality | Psychologist |
| Location | 3210 Gillham Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Renee L Dietchman (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8165317737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dietchman, Leavell And Associates 3210 Gillham Rd Kansas City MO 64109-1714 Ph: (816) 531-7737 | Dietchman, Leavell And Associates 3210 Gillham Rd Kansas City MO 64109-1714 Ph: (816) 531-7737 |
| NPI Number | 1770744708 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770744708 | NPI | - | NPPES |
| 34875019 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 01720 (Missouri) | Primary |
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