Organization
LIFE DOCTOR PSYCHOLOGICAL AND EDUCATIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FALL PHD (OWNER)
(913) 284-4242
Entity
Organization
Contact information
Practice address
17646 S ROUNDTREE DR, OLATHE, KS 66062-8216
(913) 284-4242
Mailing address
17646 S ROUNDTREE DR, OLATHE, KS 66062-8216
(913) 284-4242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
01/17/2026
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