Individual
KATHRYN S ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
409 SE DOUGLAS ST, LEES SUMMIT, MO 64063-4246
(816) 795-0004
(816) 578-5449
Mailing address
28 U ST, LAKE LOTAWANA, MO 64086-9755
(816) 578-4135
(816) 578-5449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01428
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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