Organization
NORTHLAND BEHAVIORAL HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY M SHOFFNER PSY.D. (PSYCHOLOGIST)
(816) 420-3130
Entity
Organization
Contact information
Practice address
119 NE 72ND ST, GLADSTONE, MO 64118-1826
(816) 420-3130
(816) 734-0083
Mailing address
119 NE 72ND ST, GLADSTONE, MO 64118-1826
(816) 420-3130
(816) 734-0083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2005004519
MO
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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