Individual
DR. ANGELA WOZNIAK MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 SW JEFFERSON STREET, STE 206, LEES SUMMIT, MO 64063
(816) 554-7705
(816) 554-7706
Mailing address
2109 SW ROBERTS COURT, LEES SUMMIT, MO 64082
(816) 554-7887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0963
KS
103TC0700X
Clinical Psychologist
Primary
PYR0476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24579038
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/13/2007
Last updated
07/08/2007
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