Organization
SUSAN BARNGROVER PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN F BARNGROVER PHD (PRESIDENT)
(816) 524-5818
Entity
Organization
Contact information
Practice address
409 SE DOUGLAS ST, LEES SUMMIT, MO 64063-4246
(816) 524-5818
(816) 524-5819
Mailing address
409 SE DOUGLAS ST, LEES SUMMIT, MO 64063-4246
(816) 524-5818
(816) 524-5819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY1402
MO
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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