Organization
MARY J. YANICS, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY J. YANICS PH.D. (SOLE AND MANAGING MEMBER)
(913) 341-9444
Entity
Organization
Contact information
Practice address
8340 MISSION ROAD, SUITE 228, PRAIRIE VILLAGE, KS 66206-1355
(913) 341-9444
(913) 341-9444
Mailing address
8340 MISSION ROAD, SUITE 228, PRAIRIE VILLAGE, KS 66206-1355
(913) 341-9444
(913) 341-9444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 985
KS
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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