Individual
JODI LYN MASON-EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
6405 METCALF AVE, SUITE 322, OVERLAND PARK, KS 66202-3927
(913) 961-3486
Mailing address
6405 METCALF AVE, SUITE 322, OVERLAND PARK, KS 66202-3927
(913) 961-3486
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
033
KS
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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