Organization
DR THERESA CODDINGTON PA
Active
Other names
Theresa Coddington, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA CODDINGTON PHD (OWNER)
(913) 291-4666
Entity
Organization
Contact information
Practice address
11011 KING ST STE 105, OVERLAND PARK, KS 66210-1203
(913) 291-4666
Mailing address
11011 KING ST STE 105, OVERLAND PARK, KS 66210-1203
(913) 291-4666
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100384950
—
KS
Enumeration date
01/03/2020
Last updated
07/27/2020
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