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Individual

DR. JOI MCNELEY-PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH D

Contact information

Practice address
12351 W 96TH TER, SUITE 111, LENEXA, KS 66215-4409
(913) 787-0400
(913) 273-1167
Mailing address
12351 W 96TH TER, SUITE 111, LENEXA, KS 66215-4409
(913) 787-0400
(913) 273-1167

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0992
KS
103T00000X
Psychologist
2003005720
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100360570A
KS
01
20-8787353
TAX ID
KS
Enumeration date
06/22/2006
Last updated
11/21/2009
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