Individual
TODD DEPAEPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3212
(816) 750-1813
Mailing address
1508 NE SAVOY, LEES SUMMIT, MO 64086-3545
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2005013082
MO
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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