| Don Brady, Psychologist Llc | |
|
1934 Nw Copper Oaks Cir Blue Springs MO 64015-8300 | |
| (913) 345-0033 | |
| Not Available |
| Full Name | Don Brady, Psychologist Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1934 Nw Copper Oaks Cir, Blue Springs, Missouri |
| Authorized Official Name and Position | Don R Brady (OWNER) |
| Authorized Official Contact | 9133450033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Don Brady, Psychologist Llc 1934 Nw Copper Oaks Cir Blue Springs MO 64015-8300 Ph: (913) 345-0033 | Don Brady, Psychologist Llc 1934 Nw Copper Oaks Cir Blue Springs MO 64015-8300 Ph: (913) 345-0033 |
| NPI Number | 1578008579 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Medicare PECOS PAC ID | 9436430204 |
|---|---|
| Medicare Enrollment ID | O20170110002255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578008579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY01609 (Missouri) | Primary |
| Provider Name | Donald R Brady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013049154 PECOS PAC ID: 3971676297 Enrollment ID: I20090706000081 |
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