Healthcare Provider Details

I. General information

NPI: 1710633276
Provider Name (Legal Business Name): RACHEL STRITT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 W 121ST ST STE 101
OVERLAND PARK KS
66209-2035
US

IV. Provider business mailing address

6720 W 121ST ST STE 101
OVERLAND PARK KS
66209-2035
US

V. Phone/Fax

Practice location:
  • Phone: 913-647-7990
  • Fax:
Mailing address:
  • Phone: 913-647-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number03107
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: