| Psychiatric Practique Pa | |
|
8645 College Blvd Ste 220 Overland Park KS 66210-1835 | |
| (913) 696-9908 | |
| (913) 341-8125 |
| Full Name | Psychiatric Practique Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 8645 College Blvd, Overland Park, Kansas |
| Authorized Official Name and Position | Reginia Brown Carolina (OWNER) |
| Authorized Official Contact | 9136969908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Practique Pa Po Box 26601 Overland Park KS 66225-6601 Ph: (913) 696-9908 | Psychiatric Practique Pa 8645 College Blvd Ste 220 Overland Park KS 66210-1835 Ph: (913) 696-9908 |
| NPI Number | 1801991237 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801991237 | NPI | - | NPPES |
| 35298015 | Other | KS | BCBS OF KANSAS CITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2003007992 (Kansas) | Primary |
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