| Fowler C. Jones, Ed D Limited Liability Company | |
|
411 Nichols Rd Suite 217 Kansas City MO 64112 | |
| (816) 931-9912 | |
| (816) 931-9912 |
| Full Name | Fowler C. Jones, Ed D Limited Liability Company |
|---|---|
| Speciality | Psychologist |
| Location | 411 Nichols Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Fowler C Jones, Llc (OWNER) |
| Authorized Official Contact | 8169319912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler C. Jones, Ed D Limited Liability Company 411 Nichols Rd Suite 217 Kansas City MO 64112 Ph: (816) 931-9912 | Fowler C. Jones, Ed D Limited Liability Company 411 Nichols Rd Suite 217 Kansas City MO 64112 Ph: (816) 931-9912 |
| NPI Number | 1043456718 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043456718 | NPI | - | NPPES |
| 496668229 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 000952 (Missouri) | Primary |
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