| Brian D Paul Llc | |
|
411 Nichols Rd Ste 194 Kansas City MO 64112-2014 | |
| (816) 531-2600 | |
| (816) 531-2754 |
| Full Name | Brian D Paul Llc |
|---|---|
| Speciality | Psychologist |
| Location | 411 Nichols Rd Ste 194, Kansas City, Missouri |
| Authorized Official Name and Position | Brian D Paul (PSYCHOLOGIST) |
| Authorized Official Contact | 8165312600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Paul Llc 411 Nichols Rd Ste 194 Kansas City MO 64112-2014 Ph: (816) 531-2600 | Brian D Paul Llc 411 Nichols Rd Ste 194 Kansas City MO 64112-2014 Ph: (816) 531-2600 |
| NPI Number | 1275753832 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3870690084 |
|---|---|
| Medicare Enrollment ID | O20070523000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275753832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2003023863 (Missouri) | Primary |
| Provider Name | Brian D Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437186913 PECOS PAC ID: 1850389909 Enrollment ID: I20040505001475 |
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