Organization
PSYCHOLOGICAL EDUCATIONAL ASSOCIATES
Active
Organization
PSYCHOLOGICAL EDUCATIONAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN N METZL PH.D. (PRESIDENT)
(816) 361-1113
Entity
Organization
Contact information
Practice address
8080 WARD PKWY, SUITE 115, KANSAS CITY, MO 64114-2034
(816) 361-1113
(816) 361-0856
Mailing address
8080 WARD PKWY, SUITE 115, KANSAS CITY, MO 64114-2034
(816) 361-1113
(816) 361-0856
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20002465800
BLUE CROSS BLUE SHIELD
MO
Enumeration date
05/21/2007
Last updated
08/22/2020
Update your record
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