Healthcare Provider Details
I. General information
NPI: 1619442233
Provider Name (Legal Business Name): SCHEMMEL PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2018
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1707 E CEDAR ST STE 120
OLATHE KS
66062-1897
US
IV. Provider business mailing address
13225 KNOX ST
OVERLAND PARK KS
66213-4676
US
V. Phone/Fax
- Phone: 913-206-8236
- Fax: 913-897-5241
- Phone: 913-206-8236
- Fax: 913-897-5241
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TODD
SCHEMMEL
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 913-206-8236