Individual
DR. SATHYA BAANU JEEVANBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
731 E 62ND ST, KANSAS CITY, MO 64110-3381
(816) 905-8936
Mailing address
731 E 62ND ST, KANSAS CITY, MO 64110-3381
(816) 905-8936
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
03161
KS
103TC1900X
Counseling Psychologist
2022046957
MO
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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