Individual
DR. JASON R MALOUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 758-9401
Mailing address
6148 FLOYD ST, OVERLAND PARK, KS 66202-3114
(913) 758-9401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2430
KS
Other
Enumeration date
08/18/2008
Last updated
02/01/2017
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