| Midamericare PLLC | |
|
2900 Sw 13th St Lees Summit MO 64081-3800 | |
| (816) 516-7114 | |
| Not Available |
| Full Name | Midamericare PLLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2900 Sw 13th St, Lees Summit, Missouri |
| Authorized Official Name and Position | Craig Erisman (OWNER) |
| Authorized Official Contact | 8165167114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midamericare PLLC 2900 Sw 13th St Lees Summit MO 64081-3800 Ph: (816) 516-7114 | Midamericare PLLC 2900 Sw 13th St Lees Summit MO 64081-3800 Ph: (816) 516-7114 |
| NPI Number | 1609268994 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609268994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Arkansas) | Primary |
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