| Madison Avenue Psychological Services | |
|
12600 E 40 Hwy Suite 101 Independence MO 64055-5955 | |
| (816) 350-3333 | |
| (816) 478-8888 |
| Full Name | Madison Avenue Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12600 E 40 Hwy, Independence, Missouri |
| Authorized Official Name and Position | John M Wubbenhorst (PRESIDENT) |
| Authorized Official Contact | 8167533333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Avenue Psychological Services 3100 Broadway St Suite 1104 Kansas City MO 64111-2658 Ph: (816) 753-3333 | Madison Avenue Psychological Services 12600 E 40 Hwy Suite 101 Independence MO 64055-5955 Ph: (816) 350-3333 |
| NPI Number | 1508110628 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508110628 | NPI | - | NPPES |
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