Individual
DR. JENNIFER ANN PROHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAILSTOP 4015, KANSAS CITY, KS 66103-2937
(913) 588-6400
Mailing address
3901 RAINBOW BLVD, MAILSTOP 4015, KANSAS CITY, KS 66103-2937
(913) 588-6400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2124
KS
Other
Enumeration date
07/02/2012
Last updated
04/25/2013
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