| Madison Avenue Psychological Services | |
|
3100 Broadway St Ste 410 Kansas City MO 64111-2506 | |
| (816) 753-3333 | |
| (816) 753-7744 |
| Full Name | Madison Avenue Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 3100 Broadway St, Kansas City, Missouri |
| Authorized Official Name and Position | John Michael Wubbenhorst (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 8767533333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Avenue Psychological Services 3100 Broadway St Ste 410 Kansas City MO 64111-2506 Ph: (816) 753-3333 | Madison Avenue Psychological Services 3100 Broadway St Ste 410 Kansas City MO 64111-2506 Ph: (816) 753-3333 |
| NPI Number | 1619968674 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619968674 | NPI | - | NPPES |
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