MARIA D KORTH PH.D.

Clinical Neuropsychologist

Kansas City, Missouri

Provider NPI: 1013966415

Provider Information:
 MARIA D KORTH PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
2401 GILLHAM RD  KANSAS CITY, MO 64108 US
Tel: 816-234-3674  Fax: --

Business Mailing Address:
2401 GILLHAM RD  KANSAS CITY, MO 64108 US
Tel: 816-234-3000  Fax: --

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	103TC0700X	Behavioral Health & Social Service Providers Psychologist Clinical	MO	R0532
N	103TC0700X	Behavioral Health & Social Service Providers Psychologist	KS	1034

Other Provider Identifiers:

Issuer	Number	State	Type
	200375940A	MO	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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