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Individual

DR. ELIZABETH ANN FOSSEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3100 NE 83RD ST, SUITE 2350, KANSAS CITY, MO 64119-4400
(816) 436-1721
(816) 436-1180
Mailing address
3100 NE 83RD ST, SUITE 2350, KANSAS CITY, MO 64119-4400
(816) 436-1721
(816) 436-1180

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01348
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21479045
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
12/09/2005
Last updated
07/08/2007
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