Individual
MONICA ELISSA KRAGENBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2040 HUTTON RD, KANSAS CITY, KS 66109-4526
(913) 299-3700
Mailing address
2040 HUTTON RD, KANSAS CITY, KS 66109-4526
(913) 299-3700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2561
KS
103TB0200X
Cognitive & Behavioral Psychologist
2561
KS
103TC0700X
Clinical Psychologist
2561
KS
103TH0004X
Health Psychologist
2561
KS
Other
Enumeration date
04/16/2015
Last updated
10/18/2017
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