| Koeneman Psychological Services, Llc | |
|
5750 W. 95th St. Suite 220 Overland Park KS 66207 | |
| (913) 444-5602 | |
| Not Available |
| Full Name | Koeneman Psychological Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5750 W. 95th St. Suite 220, Overland Park, Kansas |
| Authorized Official Name and Position | Scott Koeneman (OWNER) |
| Authorized Official Contact | 9134445602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koeneman Psychological Services, Llc 5750 W. 95th St. Suite 220 Overland Park KS 66207 Ph: () - | Koeneman Psychological Services, Llc 5750 W. 95th St. Suite 220 Overland Park KS 66207 Ph: (913) 444-5602 |
| NPI Number | 1699301077 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699301077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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