| The Plaza Academy | |
|
601 Westport Rd Kansas City MO 64111-3127 | |
| (816) 561-0770 | |
| Not Available |
| Full Name | The Plaza Academy |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 601 Westport Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Gary O Seabaugh (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8165610770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Plaza Academy 601 Westport Rd Po Box 10361 Kansas City MO 64111-3127 Ph: (816) 561-0770 | The Plaza Academy 601 Westport Rd Kansas City MO 64111-3127 Ph: (816) 561-0770 |
| NPI Number | 1942527429 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942527429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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