| Madison Avenue Psychological Services | |
|
5775 Nw 64th Ter Suite 202 Kansas City MO 64151-2382 | |
| (816) 505-3333 | |
| (816) 505-1633 |
| Full Name | Madison Avenue Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5775 Nw 64th Ter, Kansas City, 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 5775 Nw 64th Ter Suite 202 Kansas City MO 64151-2382 Ph: (816) 505-3333 |
| NPI Number | 1891049813 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891049813 | NPI | - | NPPES |
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