Individual
LISA J DABERKOW STALP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3011 BALTIMORE AVE, KANSAS CITY, MO 64108-3403
(816) 751-7732
(816) 751-7981
Mailing address
3011 BALTIMORE AVE, KANSAS CITY, MO 64108-3403
(816) 751-7900
(816) 751-7981
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01859
MO
Other
Enumeration date
08/08/2007
Last updated
05/06/2019
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