Individual
MARY K RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4901 MAIN ST, STE. 401, KANSAS CITY, MO 64112-2646
(816) 753-7071
(816) 753-8189
Mailing address
4901 MAIN ST, STE. 401, KANSAS CITY, MO 64112-2646
(816) 753-7071
(816) 753-8189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 01363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15126012
BC/BS KC
MO
01
—
280217
VALUE OPTIONS
—
01
—
567219
BC/BS KS
KS
01
—
69352
CIGNA
—
Enumeration date
07/18/2006
Last updated
07/08/2007
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