Individual
KADIE M HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 931-1711
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 932-1711
(816) 932-1719
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2019034441
MO
103TC0700X
Clinical Psychologist
2734
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2019
Last updated
05/20/2022
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