Organization
PEABODY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN P JACOBSON PH.D. (PRESIDENT)
(913) 663-1763
Entity
Organization
Contact information
Practice address
7381 W 133RD ST STE 203, OVERLAND PARK, KS 66213-4777
(913) 663-1763
Mailing address
7381 W 133RD ST STE 203, OVERLAND PARK, KS 66213-4777
(913) 226-6063
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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