Individual
DEAN ARNOLD LANDSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
4201 S HOCKER DR STE B2, INDEPENDENCE, MO 64055-4763
(816) 373-7878
(816) 373-7621
Mailing address
7921 N PARK, KANSAS CITY, MO 64018
(816) 436-1137
(816) 373-7621
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07185014
BLUECROSS/BLUESHIELD
MO
01
—
100719
MHN
MO
01
—
4343682
MAGELLAN
MO
01
—
613317
KS BLUECROSS
KS
01
—
6143117
UBH
MO
01
—
S59878
VALUE OPTIONS
MO
Enumeration date
09/20/2006
Last updated
07/09/2007
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