Individual
SARA JANE COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 598-4336
Mailing address
PO BOX 721, BLUE SPRINGS, MO 64013-0721
(816) 598-4336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2017021453
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20120900A
—
KS
05
—
490053259
—
MO
Enumeration date
09/05/2017
Last updated
05/27/2020
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