Organization
THE PLAZA ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY O SEABAUGH PHD (EXECUTIVE DIRECTOR)
(816) 561-0770
Entity
Organization
Contact information
Practice address
601 WESTPORT RD, KANSAS CITY, MO 64111-3127
(816) 561-0770
Mailing address
601 WESTPORT RD, PO BOX 10361, KANSAS CITY, MO 64111-3127
(816) 561-0770
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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