Individual
DR. JENNIFER BENNETT OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
(816) 404-6024
Mailing address
222 W GREGORY BLVD, STE. 100, KANSAS CITY, MO 64114-1140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011031531
MO
103T00000X
Psychologist
23217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499524502
—
MO
Enumeration date
03/05/2008
Last updated
12/21/2020
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