Individual
MS. DEANNA MARIE SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW, LCP
Contact information
Practice address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266
Mailing address
7501 COLLEGE BLVD., SUITE 250, OVERLAND PARK, KS 66210-1944
(913) 451-8550
(913) 469-5266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
282
KS
1041C0700X
Clinical Social Worker
Primary
4580
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27192036
BCBS OF KC
KS
01
—
27192036
BCBS OF KC
MO
Enumeration date
11/09/2006
Last updated
11/05/2008
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