| Mary J. Yanics, Ph.d., Llc | |
|
8340 Mission Rd Suite 228 Prairie Village KS 66206-1355 | |
| (913) 341-9444 | |
| (913) 341-9444 |
| Full Name | Mary J. Yanics, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8340 Mission Rd, Prairie Village, Kansas |
| Authorized Official Name and Position | Mary Jeanne Yanics (OWNER/SINGLE MEMBER) |
| Authorized Official Contact | 9133419444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J. Yanics, Ph.d., Llc 8340 Mission Rd Suite 228 Prairie Village KS 66206-1355 Ph: (913) 341-9444 | Mary J. Yanics, Ph.d., Llc 8340 Mission Rd Suite 228 Prairie Village KS 66206-1355 Ph: (913) 341-9444 |
| NPI Number | 1780959957 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 03/20/2012 |
| Medicare PECOS PAC ID | 0244490134 |
|---|---|
| Medicare Enrollment ID | O20120330000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780959957 | NPI | - | NPPES |
| 27632034 | Other | BLUE CROSS/BLUE SHIELD OF KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 985 (Kansas) | Primary |
| Provider Name | Mary J Yanics |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043313885 PECOS PAC ID: 1951403922 Enrollment ID: I20070221000450 |
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