Larry Roger Bethel in Kansas City - Psychologist
Larry Roger Bethel - NPI 1578779039
Larry Roger Bethel is a Psychologist in Kansas City, Missouri. Larry Roger Bethel practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Larry Roger Bethel is 1578779039. The last update date is 2007-07-08.
Larry Roger Bethel's current location address is 3619 Broadway St, Kansas City, Missouri. You can contact this provider via phone number 9134616879. The mailing address for Larry Roger Bethel is 3619 Broadway St, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Roger Bethel |
|---|---|
| Address | 3619 Broadway St, Kansas City, Missouri |
| Phone Number | 9134616879 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1578779039 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3619 Broadway St |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641112503 |
| Phone Number | 9134616879 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 213 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Larry Roger Bethel?
The Larry Roger Bethel has been issued the NPI (National Provider Identifier) 1578779039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Larry Roger Bethel's facilities are geographically located?
The facilities of Larry Roger Bethel are physically situated at the following location: 3619 Broadway St, Kansas City, MO, 641112503.
What is the area of specialization for Larry Roger Bethel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Roger Bethel is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578779039 to Larry Roger Bethel?
The Larry Roger Bethel received its 1578779039 assignment from the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the Larry Roger Bethel's details last updated?
The information pertaining to the Larry Roger Bethel, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1932102142
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