Healthcare Provider Details

I. General information

NPI: 1437224326
Provider Name (Legal Business Name): WILLIAM BLESSING PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2006
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CARONDELET DR SUITE 201
KANSAS CITY MO
64114-4859
US

IV. Provider business mailing address

1010 CARONDELET DR SUITE 201
KANSAS CITY MO
64114-4859
US

V. Phone/Fax

Practice location:
  • Phone: 816-590-3900
  • Fax: 816-942-8447
Mailing address:
  • Phone: 816-590-3900
  • Fax: 816-942-8447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPYRO 280
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number809
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: