| Theresa R Hubbard Llc | |
|
10 Westowne St Liberty MO 64068-1166 | |
| (816) 591-3006 | |
| (816) 407-7706 |
| Full Name | Theresa R Hubbard Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10 Westowne St, Liberty, Missouri |
| Authorized Official Name and Position | Theresa Hubbard (MEMBER) |
| Authorized Official Contact | 8165913006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa R Hubbard Llc 10 Westowne St Liberty MO 64068-1166 Ph: (816) 591-3006 | Theresa R Hubbard Llc 10 Westowne St Liberty MO 64068-1166 Ph: (816) 591-3006 |
| NPI Number | 1497078646 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 5193145647 |
|---|---|
| Medicare Enrollment ID | O20201021002863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497078646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2010004313 (Missouri) | Primary |
| 106H00000X | Marriage & Family Therapist | 727 (Kansas) | Secondary |
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