Individual
ABBEY ALYSSA CAMPBELL GRIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5986
(816) 404-5739
Mailing address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5986
(816) 404-5739
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2014037341
MO
103TC1900X
Counseling Psychologist
Primary
2014037341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490018153
—
MO
Enumeration date
10/21/2014
Last updated
12/04/2020
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