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Individual

DR. JERRI LYNN WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
618 SE 4TH ST STE 106, LEES SUMMIT, MO 64063-2908
(816) 554-7750
(816) 554-7750
Mailing address
618 SE 4TH ST STE 106, LEES SUMMIT, MO 64063-2908
(816) 554-7750
(816) 554-7750

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
01805
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23418044
BCBS OF KANSAS CITY
MS
Enumeration date
02/02/2007
Last updated
07/08/2007
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