Individual
AILEEN PAULA UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7255 RENNER RD, SHAWNEE, KS 66217-3043
(913) 596-3297
(913) 962-1026
Mailing address
7255 RENNER RD, SHAWNEE, KS 66217-3043
(913) 596-3297
(913) 962-1026
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
849
KS
103TC1900X
Counseling Psychologist
PY01538
MO
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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