Individual
DR. ERIC SHULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 404-3787
Mailing address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2013009331
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490011371
—
MO
Enumeration date
01/23/2014
Last updated
12/10/2020
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