Individual
DR. THERESA RENE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P..D
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5590
(913) 588-5916
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5590
(913) 588-5916
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LP 2309
KS
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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