Individual
MARTIN E. DYBICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
707 W 47TH ST, KANSAS CITY, MO 64112-1803
(816) 590-9545
Mailing address
707 W 47TH ST, KANSAS CITY, MO 64112-1803
(816) 590-9545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
R0484
MO
Other
Enumeration date
05/31/2007
Last updated
04/12/2013
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