Individual
AASTHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6178
Mailing address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6178
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MO
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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