Individual
DOMINICK A SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
511 N MUR LEN RD, OLATHE, KS 66062-1242
(816) 360-9221
(913) 764-1195
Mailing address
511 N MUR LEN RD, OLATHE, KS 66062-1242
(816) 360-9221
(913) 764-1195
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
05224
MD
103TC1900X
Counseling Psychologist
2015010530
MO
103TC1900X
Counseling Psychologist
Primary
2322
KS
Other
Enumeration date
12/27/2012
Last updated
09/09/2015
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