Individual
MONICA OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6170
Mailing address
833 NW DONOVAN RD APT 206, LEES SUMMIT, MO 64086-4605
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02916
KS
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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