Individual
DR. MARISSA MAUREEN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT., KANSAS CITY, MO 64108-4619
(816) 701-2000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2025040578
MO
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2025040578
MO
103TC2200X
Clinical Child & Adolescent Psychologist
LP03486
KS
Other
Enumeration date
03/27/2024
Last updated
03/26/2026
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