Individual
DR. PATRICIA A SHANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1010 CARONDELET, BLDG A SUITE 412, KANSAS CITY, MO 64114
(816) 942-9050
(816) 942-9002
Mailing address
1010 CARONDELET, BLDG A SUITE 412, KANSAS CITY, MO 64114
(816) 942-9050
(816) 942-9002
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PTMO01568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23866010
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/05/2006
Last updated
02/25/2010
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