Individual
DR. ROSEANNE MARIE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
222 W GREGORY BLVD STE 100, KANSAS CITY, MO 64114-1127
(816) 361-0664
Mailing address
222 W GREGORY BLVD, SUITE 100, KANSAS CITY, MO 64114-1140
(816) 361-0664
(816) 361-0677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2005032794
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36589031
BCBSKC INDIVIDUAL
MO
Enumeration date
04/06/2006
Last updated
09/24/2010
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