| Stephen Michael Kanne, PHD | |
|
205 Portland St, Columbia, MO 65201-6521 | |
| (573) 884-6052 | |
| (573) 884-1151 |
| Full Name | Stephen Michael Kanne |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 205 Portland St, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780648014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2000166652 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2000166652 (Missouri) | Primary |
| Entity Name | Weill Medical College Of Cornell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871692210 PECOS PAC ID: 6800709023 Enrollment ID: O20040712000830 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Kanne, PHD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Stephen Michael Kanne, PHD 205 Portland St, Columbia, MO 65201-6521 Ph: (573) 884-6052 |
Kristin Dyer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 W Worley St, Columbia, MO 65203 Phone: 573-214-3400 | |
Dr. Katherine Ellis Light, PHD, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Berrywood Dr, Columbia, MO 65201 Phone: 573-777-8330 Fax: 573-777-8390 | |
Dr. Randee Shenkel, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2804 Forum Blvd Ste 4, Columbia, MO 65203 Phone: 573-446-5034 Fax: 573-446-5046 | |
Jocelyn N Abanes, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Martha Brownlee-duffeck, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Adrionia Marie Molder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Parker Hall, Columbia, MO 65211 Phone: 573-882-2665 | |
Dr. Hayley Elizabeth Clocksin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 Portland St, Columbia, MO 65201 Phone: 573-884-6052 Fax: 573-884-3195 |