| Neurodiversity Clinic Llc | |
|
4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491 | |
| (816) 516-4039 | |
| Not Available |
| Full Name | Neurodiversity Clinic Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4963 Ne Goodview Cir Ste C, Lees Summit, Missouri |
| Authorized Official Name and Position | Anthony Morrison (DIRECTOR) |
| Authorized Official Contact | 8165164039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiversity Clinic Llc 4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491 Ph: (816) 516-4039 | Neurodiversity Clinic Llc 4963 Ne Goodview Cir Ste C Lees Summit MO 64064-2491 Ph: (816) 516-4039 |
| NPI Number | 1053187716 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053187716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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