Judith A Kotecki-martin, LCP | |
7840 Washington Ave, Kansas City, KS 66112-2152 | |
(913) 328-4631 | |
Not Available |
Full Name | Judith A Kotecki-martin |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 7840 Washington Ave, Kansas City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508916420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | LCP 026 (Kansas) | Primary |
Entity Name | Wyandot Center For Community Behavioral Healthcare, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629159389 PECOS PAC ID: 5496745325 Enrollment ID: O20051109000434 |
Mailing Address | Practice Location Address |
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Judith A Kotecki-martin, LCP 1007 S 56th St, Kansas City, KS 66106-1523 Ph: (913) 328-4631 | Judith A Kotecki-martin, LCP 7840 Washington Ave, Kansas City, KS 66112-2152 Ph: (913) 328-4631 |
Dr. Nellie Moualeu, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-1300 | |
Monica F Kurylo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd., Kansas City, KS 66160 Phone: 913-588-6400 | |
Marcus Alt, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6400 | |
Dr. Wendi Kay Born, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: Dept Of Family Medicine K U Medical Ctr, Mail Stop 4010, 3901 Rainbow Blvd., Kansas City, KS 66160 Phone: 913-588-1944 Fax: 913-588-2496 | |
Delwyn Catley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Department Of Family Medicine, Kansas City, KS 66160 Phone: 913-588-6694 | |
Carol Z Barry, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7840 Washington Ave, Kansas City, KS 66112 Phone: 913-328-4816 | |
Dr. Jane M. Sosland, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-6323 Fax: 913-588-2253 |