| Susan Barngrover Phd, Pc | |
|
409 Se Douglas St Lees Summit MO 64063-4246 | |
| (816) 524-5818 | |
| (816) 524-5819 |
| Full Name | Susan Barngrover Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 409 Se Douglas St, Lees Summit, Missouri |
| Authorized Official Name and Position | Susan F Barngrover (PRESIDENT) |
| Authorized Official Contact | 8165245818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Barngrover Phd, Pc 409 Se Douglas St Lees Summit MO 64063-4246 Ph: (816) 524-5818 | Susan Barngrover Phd, Pc 409 Se Douglas St Lees Summit MO 64063-4246 Ph: (816) 524-5818 |
| NPI Number | 1932414802 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 08/16/2010 |
| Medicare PECOS PAC ID | 6002000759 |
|---|---|
| Medicare Enrollment ID | O20101027000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932414802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY1402 (Missouri) | Primary |
| Provider Name | Susan F Barngrover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033125521 PECOS PAC ID: 5890989545 Enrollment ID: I20101027000564 |
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