Individual
SARAH ELIZABETH BEALS-ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3674
(816) 346-1382
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2016016442
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841281805
CEMTER NPI
KS
Enumeration date
08/03/2011
Last updated
09/20/2016
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