Organization
STARBOARD THERAPY AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEAGAN LEIGH DWYER PH.D. (OWNER)
(816) 659-3202
Entity
Organization
Contact information
Practice address
107 W 9TH ST, KANSAS CITY, MO 64105-1705
(816) 659-3202
Mailing address
107 W 9TH ST, KANSAS CITY, MO 64105-1705
(816) 659-3202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700169968
—
KS
Enumeration date
12/13/2022
Last updated
12/13/2022
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