Individual
DR. FOREST TU PAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1301 N WAREHOUSE RD, FORT LEAVENWORTH, KS 66027
(913) 758-3757
Mailing address
1816 NW 63RD TER, KANSAS CITY, MO 64151-4826
(540) 421-2357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6192
CO
103TC0700X
Clinical Psychologist
03100
KS
103TC0700X
Clinical Psychologist
Primary
0810005068
VA
103TC0700X
Clinical Psychologist
2022013155
MO
Other
Enumeration date
04/14/2011
Last updated
06/19/2022
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